Nutrition in Pregnancy Following Bariatric Surgery.
Christopher SlaterLauren MorrisJodi EllisonAkheel A SyedPublished in: Nutrients (2017)
The widespread use of bariatric surgery for the treatment of morbid obesity has led to a dramatic increase in the numbers of women who become pregnant post-surgery. This can present new challenges, including a higher risk of protein and calorie malnutrition and micronutrient deficiencies in pregnancy due to increased maternal and fetal demand. We undertook a focused, narrative review of the literature and present pragmatic recommendations. It is advisable to delay pregnancy for at least 12 months following bariatric surgery. Comprehensive pre-conception and antenatal care is essential to achieving the best outcomes. Nutrition in pregnancy following bariatric surgery requires specialist monitoring and management. A multidisciplinary approach to care is desirable with close monitoring for deficiencies at each trimester.
Keyphrases
- bariatric surgery
- weight loss
- pregnancy outcomes
- preterm birth
- pregnant women
- obese patients
- palliative care
- healthcare
- quality improvement
- minimally invasive
- metabolic syndrome
- pain management
- type diabetes
- insulin resistance
- polycystic ovary syndrome
- coronary artery disease
- weight gain
- glycemic control
- atrial fibrillation
- body mass index
- clinical practice
- skeletal muscle
- replacement therapy
- health insurance
- binding protein
- double blind