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Pregnancy and bariatric surgery.

Kamal K Mahawar1

  • 1Bariatric Unit, Sunderland Royal Hospital, Sunderland, UK - kamal_mahawar@hotmail.com.

Minerva Chirurgica
|June 17, 2017
PubMed
Summary

Pregnancy after bariatric surgery requires careful planning. Women should receive contraceptive advice and wait for weight stabilization before conception, with multidisciplinary care during pregnancy for optimal outcomes.

Area of Science:

  • Reproductive Medicine
  • Bariatric Surgery Outcomes
  • Maternal-Fetal Medicine

Background:

  • Increasing incidence of pregnancy post-bariatric surgery necessitates evidence-based guidance.
  • Weight loss from bariatric surgery impacts fertility and pregnancy considerations.

Purpose of the Study:

  • To review the existing evidence on pregnancy after bariatric surgery.
  • To develop practical, evidence-based recommendations for managing these pregnancies.

Main Methods:

  • Systematic literature search of PubMed for articles on pregnancy in patients with prior bariatric surgery.

Main Results:

  • Bariatric surgery-induced weight loss may improve fertility.
  • Contraceptive advice and delayed conception until weight stabilization (12-24 months post-surgery) are recommended.

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  • Pre-conception clearance and multidisciplinary care are crucial for nutritional status, weight gain, and fetal growth.

    • Conclusions:

    • A significant lack of high-level evidence exists for pregnancy management post-bariatric surgery.
    • Current literature supports practical suggestions for routine care while awaiting further research.
    • Multidisciplinary team approach is vital for optimizing maternal and fetal outcomes.