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This study was conducted to review clinical practice guidelines (CPGs) for managing pregnancy following metabolic\u2010bariatric surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a comprehensive literature search of all CPGs that covered the management of pregnancy following metabolic\u2010bariatric surgery, 2010 through 2022, and that were published in English. Two authors independently scored the quality and usefulness of CPGs using the Appraisal of Guidelines for Research and Evaluation II tool (AGREE II).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From a total of 20 CPGs, consistent recommendations included the following: 1) contraception with long\u2010acting reversible contraceptives before surgery until the optimal time of pregnancy; 2) nutritional care by a dietitian; 3) considering gastrointestinal discomforts during pregnancy as a potential surgical complication; and 4) modified screening for gestational diabetes instead of glucose tolerance tests preventing post\u2010bariatric hypoglycemia. There was a lack of uniformity concerning surgery\u2010to\u2010conception interval and dose of supplements, as well as research gaps regarding the surgical type, mental health, delivery type, breastfeeding, neonatal care, and weight retention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>All recommendations for managing pregnancy after metabolic\u2010bariatric surgery were deemed clinically useful. Although consistent recommendations should be implemented, inconsistencies should be the focus of research.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oby.24118","type":"journal-article","created":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T07:08:23Z","timestamp":1727766503000},"page":"2225-2236","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["A systematic review on clinical practice guidelines for managing pregnancy following metabolic\u2010bariatric surgery"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4841-5665","authenticated-orcid":false,"given":"Raheleh","family":"Moradi","sequence":"first","affiliation":[{"name":"Minimally Invasive Surgery Research Center Iran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Kashanian","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology, Akbarabadi Teaching Hospital Iran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Sheidaei","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8978-9359","authenticated-orcid":false,"given":"Mohammad","family":"Kermansaravi","sequence":"additional","affiliation":[{"name":"Division of Minimally Invasive and Bariatric Surgery, Department of Surgery, Minimally Invasive Surgery Research Center, School of Medicine, Hazrat\u2010e Fatemeh Hospital Iran University of Medical Sciences  Tehran Iran"},{"name":"Center of Excellence of European Branch of International Federation for Surgery of Obesity Hazrat\u2010e Rasool Hospital  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"International Federation for the Surgery of Obesity and Metabolic Disorders.8th Global Registry Report2023. 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