Obese women who have bariatric surgery before getting pregnant are at significantly lower risk for developing dangerous hypertensive disorders during pregnancy than those who don't, according to a study of medical insurance records by Johns Hopkins experts...
The full text of the BMJ article is available [url="http://www.bmj.com/cgi/content/full/340/apr13_1/c1662?view=long&pmid=20388692"]here[/url] and says:
Almost 15% of women who delivered before surgery group had pre-eclampsia or eclampsia compared with about 3% of those who delivered after surgery (P<0.001) (table). Mild pre-eclampsia was the most common diagnosis and was less common among the deliveries after surgery than the deliveries before surgery (2.0% v 9.0%). There were also lower rates of both severe pre-eclampsia and eclampsia in the deliveries after surgery. Rates of gestational hypertension (13.0% v 2.5%, P<0.001) and chronic hypertension complicating pregnancy (13.8% v 5.4%, P<0.001) were higher in the women who delivered before surgery. Almost 12% of women who delivered before surgery had pre-eclampsia or eclampsia superimposed on pre-existing hypertension compared with only 1% of women who delivered after surgery (P<0.001)
which is pretty much made of awesome and win, especially if this retrospective data holds up in future studies.
Definitely talk to your doc about this if you're a candidate for weight loss. (And cue the comments from everyone who was a skinny exerciser and still got it.) :)
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