Gestational weight gain and postpartum weight retention after bariatric surgery: data from a prospective cohort study

Abstract

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Maternal Nutritional Status and Pregnancy Outcomes Post-bariatric Surgery

“…A recent study on neonatal outcomes post-maternal bariatric surgery indicated higher infants with SGA among insufficient weight gain mothers, while LGA infants were higher among the excessive weight gain mothers when compared to the other GWG groups. In addition, preterm birth was higher among the insufficient weight gain group [54].…”

“…Those who followed these guidelines had better overall pregnancy outcomes than those who did not follow them [53]. However, there is limited data to predict whether those guidelines can be utilized in post-bariatric pregnancies [54].…”

“…Oral supplements can be prescribed to avoid weight loss and to ensure adequate protein intake of at least 60 g per day [57]. On the other hand, for those with a tendency to gain more weight, it leads to weight retention after delivery and consequently weight regain [54].…”

Pregnancy after Bariatric Surgery: A Nested Case-Control Study of Risk Factors for Small for Gestational Age Babies in AURORA

“…Half of the women in AURORA had excessive GWG yet still gave birth to a small or appropriate for gestational age baby. Excessive GWG has been shown to be associated with postpartum weight retention and weight regain following bariatric surgery [ 24 ]. This raises the question of what range of GWG is optimal for balancing health outcomes of both mother and baby and, until then, how women can be best supported to gain the recommended amount of weight.…”

“…This study found that higher GWG in pregnancy after bariatric surgery significantly reduces the odds of having an SGA baby. However, excessive GWG predisposes for weight regain postpartum [ 24 ]. Mothers that received nutritional advice post-surgery are also significantly less likely to have an SGA baby.…”