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Nov. 17, 2008 – Medicare will draw the line at a body-mass index (BMI) of 35 to determine if a senior citizen is morbidly obese and qualified to receive coverage for bariatric surgery as a treatment for beneficiaries with type 2 (or non-insulin-dependent) diabetes, according to an announcement today by the Centers for Medicare & Medicaid Services (CMS).
TUESDAY, Nov. 18 (HealthDay News) -- Women who get pregnant after having weight-loss surgery have a lower risk of maternal and newborn complications than pregnant women who are obese, according to U.S. researchers who analyzed 75 studies.
Washington, November 18 : Increased physical activity after bariatric surgery helps patients drop more weight and improve their quality of life, reveals a new study.
A new study by researchers from The Miriam Hospital's Centers for Behavioral and Preventive Medicine suggests increased physical activity after bariatric surgery can yield better postoperative outcomes.
A review of previously published studies suggests that rates of adverse outcomes for mothers or pregnant women and newborn babies, such as gestational diabetes and low birth weight, may be lower after bariatric surgery compared with pregnant women who are obese, according to an article in the Nov. 19 issue of JAMA.
Dr. Mary Mason wants to hear from you. She's answers your health questions every Wednesday on News 4 at Noon. This week, she's answering questions on bariatric surgery.
A review of previously published studies suggests that rates of adverse outcomes for mothers or pregnant women and newborn babies, such as gestational diabetes and low birth weight, may be lower after bariatric surgery compared with pregnant women who are obese, according to an article in the November 19 issue of JAMA.
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Is a Healthy Pregnancy Possible After Gastric Bypass Surgery?
Author:
Kaye Bailey
When a woman in the child bearing years undergoes gastric bypass surgery to lose weight one of the first things she will hear from the nay-sayers is that after surgery she cannot have a healthy pregnancy because of presumed nutritional deficiencies. The contrary is true. Morbid obesity results in a high rate of complicated pregnancies and a high rate of miscarriage. Women who become pregnant after achieving weight loss with gastric bypass generally have lower risk pregnancies than morbidly obese women.
The United States Surgeon General lists several reproductive complications associated with pregnancy in women who are obese. Complications include an increased risk of death in both the baby and the mother and increases the risk of maternal high blood pressure by 10 times. In addition to many other complications, women who are obese during pregnancy are more likely to have gestational diabetes and problems with labor and delivery.
The Surgeon General concludes that Infants born to women who are obese during pregnancy are more likely to be high birth weight and, therefore, may face a higher rate of Cesarean section delivery and low blood sugar (which can be associated with brain damage and seizures). Obesity during pregnancy is associated with an increased risk of birth defects, particularly neural tube defects, such as spina bifida.
In a study by Dr. Alan C. Wittgrove, past president of the American Society of Bariatric Surgery and pioneer of the laparoscopic technique, post-gastric bypass pregnancy indicates fewer risks than commonly reported by women who are obese during pregnancy. His study was conducted with nurse-practitioner Leslie Jester who had a low-risk pregnancy and delivered a healthy baby after gastric bypass surgery.
The Wittgrove Center has an active patient list of over 2000 people. The patients are informed to contact the Center when they become pregnant. In the study 41 women in the patient population became pregnant. Using personal interview, questionnaire, and review of perinatal records, pregnancy-related risks and complications were studied.
The study found less risk of gestational diabetes, macrosomia, and cesarean section than associated with obesity. There were no patients with clinically significant anemia.
Dr. Wittgrove concluded, “Since the patients had an operation that restricts their food intake, some basic precautions should be taken when they become pregnant. With this in mind, our patients have done well with their pregnancies. The post-surgical group had fewer pregnancy-related complications than did an internally controlled group that were morbidly obese during their previous pregnancies.”
Kaye Bailey is a weight loss surgery success story having maintained her health and goal weight for 5+ years. An award winning journalist, she is the author and webmaster of http://www.livingafterwls.com and http://www.livingafterwls.blogspot.com. Fresh & insightful content is added daily, check in often.
With an estimated 10 million Americans living with severe obesity problems, gastric bypass surgery is one of the frequently considered weight loss solutions. Find out how to prepare for bariatric surgery and how to effectively loose weight as a result of this popular procedure. Many cases of obese and morbidly obese people go far beyond the issues of having to deal with a few extra pounds - they can be serious matters, as excessive weight can develop into a fatal problem. More and more importance is placed on gastric bypass surgery as one of the best methods of eliminating excessive fat (find out more here: Gastric Bypass Expert ). However, the risks involved and the cost of gastric bypass surgery are often some issues patients need to consider. Bariatric surgery (another name used for gastric bypass) is a solution to eliminating fat - here are some more facts about it. Getting ready for Bariatric surgery Before the surgical procedure is performed, you will undergo some...
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A review of previously published studies suggests that rates of adverse outcomes for mothers or pregnant women and newborn babies, such as gestational diabetes and low birth weight, may be lower after bariatric surgery compared with pregnant women who are obese, according to an article in the November 19 issue of JAMA.
Dr. Mary Mason wants to hear from you. She's answers your health questions every Wednesday on News 4 at Noon. This week, she's answering questions on bariatric surgery.
Women who get pregnant after weight-loss surgery tend to be healthier and less likely to deliver a baby born with complications compared to obese women, researchers said on Tuesday.
Women who undergo weight-loss surgery, known as bariatric surgery, and later become pregnant after losing weight may be at lower risk for pregnancy-related diabetes and high blood pressure - complications that can seriously affect the mother or her baby - than pregnant women who are obese, according to new findings from the Agency for Healthcare Research and Quality that are published in the ...
( Wiley-Blackwell ) Severely obese patents who underwent gastric bypass surgery had lost up to 31 percent of their BMI after four years. Blood pressure problems fells by 76 percent and diabetes by 90 percent. But 27 of the 50 patients experienced complications and ten patients had to be operated on again. The study, published in the British Journal of Surgery, was carried out to see if a longer ...
Undergoing gastric bypass surgery can improve pregnancy outcomes for obese women. Researchers at the Rand Corporation analyzed data from 75 studies that looked at various health issues among women who had bypass surgery.
Severely obese patients who underwent two different gastric bypass techniques had lost up to 31 per cent of their Body Mass Index (BMI) after four years, with no deaths reported among the 50 study subjects, according to an article in the British Journal of Surgery.
Severely obese patients who underwent two different gastric bypass techniques had lost up to 31 per cent of their Body Mass Index (BMI) after four years, with no deaths reported among the 50 study subjects, according to the November issue of the British Journal of Surgery.
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