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Invited Commentary
February 2017

Corrected vs Uncorrected Obesity in Childbearing Women—What Really Drives Fetal Risks?

Author Affiliations
  • 1Department of Surgery, David Geffen School of Medicine at UCLA, University of California, Los Angeles
  • 2Maternal Fetal Medicine Practice, Magella Medical Group, Inc, Long Beach, California
  • 3Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California
JAMA Surg. 2017;152(2):135. doi:10.1001/jamasurg.2016.3597

Bariatric surgery has helped to improve the health and quality of life of thousands of morbidly obese Americans. Yet, despite a notable short-term safety profile, several questions have recently been raised about its long-term physiological and psychosocial effects. Suicide, for example, may be more common after bariatric surgery than before, in spite of apparent improvements in patients’ underlying depression.1 In this issue of JAMA Surgery, Parent and colleagues2 add to this debate by suggesting that women who undergo bariatric surgery may be at higher risk for certain perinatal complications, especially if they get pregnant within 2 years of their operation. While these findings are compelling, additional questions must be answered before they can be used to guide patient care.

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