Micronutrients in Pregnancy after Bariatric Surgery: A Narrative Review

Bretón, Irene; Ballesteros-Pomar, María D.; Calle-Pascual, Alfonso; Alvarez-Sala, Luis Antonio; Rubio-Herrera, Miguel Angel

doi:10.3390/jcm12165429

Cited by 5 publications

(1 citation statement)

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“…Supplementation is of extreme importance, especially during pregnancy, when the maternal and fetal needs for vitamins and minerals are higher than outside pregnancy, and deficiencies can lead to more adverse effects, negatively influencing both maternal and fetal outcomes. Different types of bariatric procedures may have different effects on nutrient absorption and metabolism [7]. Roux-en-Y gastric bypass (RYGB) is more of a malabsorptive surgery (MS), and SG mostly represents restrictive surgery (RS); however, SG also has endocrine and metabolic effects [8].…”

Section: Introductionmentioning

confidence: 99%

Nutritional Implications of Bariatric Surgery on Pregnancy Management—A Narrative Review of the Literature

Różańska-Walędziak,

Walędziak,

Mierzejewska

et al. 2023

Medicina

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One in three women of reproductive age is obese. The mainstay treatment for obesity is bariatric surgery, and the following weight reduction results in a decrease in pregnancy adverse effects, including gestational diabetes mellitus, pregnancy-induced hypertension, and macrosomia. However, nutritional and vitamin deficiencies due to changes in the gastrointestinal tract after bariatric surgery are associated with an increase in the risk of fetal growth retardation and small for gestational-age neonates. The purpose of this review was to analyze the available recent literature on the subject of the management of pregnancy after bariatric surgery. We searched for available articles from 2007 to 2023 and chose articles of the greatest scientific and clinical value. Micronutrient, vitamin, and protein supplementation is recommended in the prenatal period and throughout the pregnancy. It is advised that pregnant women with a history of bariatric surgery should be provided with regular specialist dietary care. There is still a lack of recommendations about the optimum gestational weight gain after different types of bariatric surgery and for patients of different metabolic statuses. Women of reproductive age undergoing bariatric procedures should be provided with appropriate counseling about adequate contraception, the recommended time-to-conception interval, and the positive and negative influence of bariatric surgery on perinatal outcomes.

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Section: Introductionmentioning

confidence: 99%