{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T04:51:54Z","timestamp":1774500714367,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T00:00:00Z","timestamp":1746144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T00:00:00Z","timestamp":1746144000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Clinical practice guidelines recommend additional monitoring in pregnancy for women post\u2010bariatric surgery, to reduce the risk of maternal and infant complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine if pregnancy care post\u2010bariatric surgery at an Australian quaternary public hospital is consistent with guidelines and to report on perinatal outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A retrospective audit of medical records and perinatal outcomes from post\u2010bariatric surgery pregnancies from June 2016 to February 2021 was completed. Micronutrient monitoring and supplementation practices, gestational diabetes mellitus (GDM) screening, gestational weight gain (GWG) and fetal growth (FG) monitoring were compared with guidelines. Perinatal outcomes were compared with Queensland and Australian population data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eighty\u2010three women meeting the inclusion criteria delivered 86 infants. Twenty percent (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200916) had recommended GDM screening, 86% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200971) recommended FG monitoring at 12\u2010weeks and 98% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200981) at 20\u2010weeks, but only 24% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920) had monthly monitoring from viability. GWG monitoring was 95% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200979) in the second trimester and 94% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200978) in the third trimester. Monitoring rates were highest for iron, and lowest for copper and selenium. Adverse infant outcomes for length of stay, neonatal intensive and special care admissions and caesarean section were significantly higher than the Queensland and Australian populations (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Adherence with consensus recommendations aligning to standard antenatal monitoring for the general population was high, but additional monitoring for post\u2010bariatric surgery specific care was lower. The evidence suggesting increased rates of adverse perinatal outcomes highlights the importance of consistency and adherence with post\u2010bariatric surgery specific care for this group during pregnancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.70041","type":"journal-article","created":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T09:00:37Z","timestamp":1746176437000},"page":"838-847","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Pregnancy After Bariatric Surgery: A Comparison of Antenatal Care Practices With the 2019 International Consensus Recommendations in Queensland, Australia"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0233-2776","authenticated-orcid":false,"given":"Rachel","family":"Willims","sequence":"first","affiliation":[{"name":"Dietetics and Foodservices Royal Brisbane and Women's Hospital, Metro North Health  Herston Queensland Australia"},{"name":"School of Exercise and Nutrition Sciences Faculty of Health, Queensland University of Technology  Kelvin Grove Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hayley","family":"Sullivan","sequence":"additional","affiliation":[{"name":"School of Exercise and Nutrition Sciences Faculty of Health, Queensland University of Technology  Kelvin Grove Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2947-4130","authenticated-orcid":false,"given":"Lynda","family":"Ross","sequence":"additional","affiliation":[{"name":"School of Exercise and Nutrition Sciences Faculty of Health, Queensland University of Technology  Kelvin Grove Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6670-0566","authenticated-orcid":false,"given":"Taylor","family":"Guthrie","sequence":"additional","affiliation":[{"name":"Dietetics and Foodservices Royal Brisbane and Women's Hospital, Metro North Health  Herston Queensland Australia"},{"name":"Centre for Health Services Research Faculty of Medicine, University of Queensland  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9127-2049","authenticated-orcid":false,"given":"Penny","family":"Wolski","sequence":"additional","affiliation":[{"name":"Women's and Newborn Services Royal Brisbane and Women's Hospital, Metro North Health  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4962-559X","authenticated-orcid":false,"given":"Ann\u2010Maree","family":"Craven","sequence":"additional","affiliation":[{"name":"Department of Obstetric Medicine Royal Brisbane and Women's Hospital, Metro North Health  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8466-0273","authenticated-orcid":false,"given":"Christoph","family":"Lehner","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Royal Brisbane and Women's Hospital, Metro North Health  Herston Queensland Australia"},{"name":"Medical School Faculty of Medicine, University of Queensland  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0137-9935","authenticated-orcid":false,"given":"Leonie","family":"Callaway","sequence":"additional","affiliation":[{"name":"Women's and Newborn Services Royal Brisbane and Women's Hospital, Metro North Health  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6715-9193","authenticated-orcid":false,"given":"Victoria","family":"Eley","sequence":"additional","affiliation":[{"name":"Medical School Faculty of Medicine, University of Queensland  Herston Queensland Australia"},{"name":"Anaesthetics and Perioperative Services Royal Brisbane and Women's Hospital, Metro North Health  Herston Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9617-546X","authenticated-orcid":false,"given":"Helen L","family":"MacLaughlin","sequence":"additional","affiliation":[{"name":"Dietetics and Foodservices Royal Brisbane and Women's Hospital, Metro North Health  Herston Queensland Australia"},{"name":"School of Exercise and Nutrition Sciences Faculty of Health, Queensland University of Technology  Kelvin Grove Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6321-8558","authenticated-orcid":false,"given":"Susan D. 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