Table IV.
Description and summary of data from studies that investigated associations between restrictive surgery and periconception outcomes of maternal health.
| Author | Type of bariatric surgery | Studied periconception outcome | Fertility | Irregular menstrual cycles | Vitamin status | Endocrine changes | Miscarriages | Congenital malformations | ErasmusAGE quality score |
|---|---|---|---|---|---|---|---|---|---|
| Goldman RH (2016) | AGB* | Fertility, irregular menstrual cycles, miscarriages | ↑ | ↓ | = | 7 | |||
| Lapolla A (2010) | AGB | Miscarriage | ↑ | 6 | |||||
| Mead NC (2014) | SG* | Vitamin status |
|
6 | |||||
| Günakan E (2020) | SG | Vitamin status | = (Vitamin D) | 5 | |||||
| Musella M (2011) | Intragastric balloon | Fertility | ↑ | 5 | |||||
| Pilone V (2014) | SG | Hormonal levels, irregular menstrual cycles | ↓ | ↑ (AMH) | 5 | ||||
| Basbug A (2019) | SG | Congenital malformations | = | 4 | |||||
| Milone M (2017) | SG | Endocrine changes, fertility | ↑ | = (FSH, AMH) | 4 | ||||
| Tsur A (2014) | SG, gastric banding | Fertility | ↑/= | = (Oestradiol) | 4 | ||||
| Karadağ C (2020) | SG | Congenital malformations | = | 3 | |||||
| Khazraei H (2017) | SG | Fertility, irregular menstrual cycles, miscarriages | ↑ | ↓ | = | 3 |
*
AGB, adjustable gastric banding; SG, sleeve gastrectomy.
↓ indicates a decrease in the occurrence of the periconception parameter of interest, ↑ indicates an increase in the occurrence of the periconception parameter of interest and = indicates no change.