A systematic review on clinical practice guidelines for managing pregnancy following metabolic‐bariatric surgery
Authors' conclusion
All recommendations for managing pregnancy after metabolic-bariatric surgery were deemed clinically useful. Although consistent recommendations should be implemented, inconsistencies should be the focus of research.
Study context
- Population
- Clinical practice guidelines (CPGs) covering management of pregnancy after metabolic-bariatric surgery, published in English 2010–2022
- Participants
- 20 CPGs
- Outcome
- Consistent recommendations across CPGs
Methodological detailsAGREE II appraisal, 2 independent reviewers, Two authors independently scored quality and usefulness of CPGs with AGREE II
- AGREE II appraisal
- 2 independent reviewers
- Two authors independently scored quality and usefulness of CPGs with AGREE II
Pooled result
As reported in the abstract
- Contraception with long-acting reversible contraceptives before surgery until the optimal time of pregnancy
- Nutritional care by a dietitian
- GI discomforts during pregnancy considered as a potential surgical complication
- Modified GDM screening instead of glucose tolerance tests, preventing post-bariatric hypoglycemia
- Lack of uniformity on surgery-to-conception interval and supplement dose
- Research gaps: surgical type, mental health, delivery type, breastfeeding, neonatal care, weight retention
Original publication
A systematic review on clinical practice guidelines for managing pregnancy following metabolic‐bariatric surgery. Obesity (Silver Spring). Published 1 October 2024. doi:10.
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