Pregnancy After Bariatric Surgery

Pregnancy after Two Different Modalities of Bariatric Surgery. What to Expect?

“…The demographic characteristics of the study participants are illustrated in table (1). There were no statistically significant differences between the two groups regarding maternal age, body mass index (BMI), smoking, and time lapse from bariatric surgery to pregnancy, while the mean gestational weight gain was significantly higher in group (A) compared to group (B) (11.2±2.03 vs. 6.2±1.92; p=0.0023 respectively).…”

“…them are in the reproductive age (1) , while in United Kingdom obesity rose from 24.2% in 2005 to 28.3% in 2015 among women of reproductive age. (4) Overweight and obese women are at a high risk for delayed conception and infertility because the disturbance of the neuro-regulation of the hypothalamic-pituitary-gonadal axis is due to (i) insulin resistance and hyperandrogenemia.…”

Nutrition and Pregnancy after Bariatric Surgery

“…This problem is escalating in all age groups, with a greater occurrence in females. About 25% of women meet the obesity criteria and one-third of them are in the reproductive age [3]. Obese women are at higher risk of associated diseases.…”

“…Restrictive bariatric procedures provide weight loss through reducing stomach capacity, while malabsorptive operations diminish gastric volume and disrupt proper absorption of ingested food and nutrients. Each category of procedures has its own input on postoperative nutrition and the outcomes of pregnancy, especially that malabsorptive procedures are combined with higher risk of nutritional deficiency [3]. …”

“…Women in the first trimester of pregnancy frequently experience persistent vomiting due to high levels of B-hcG or decreased levels of progesterone. Vomiting as a result of pregnancy added to that from restriction can be much more difficult to handle [3, 14]. Pregnant women, who have undergone adjustable gastric banding and are experiencing hyperemesis, may have the band deflated or even opened to facilitate pouch emptying, for reducing the frequency of vomiting and for feeling temporary alleviation [14, 15].…”