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Nutrition in Pregnancy Following Bariatric Surgery
Christopher Slater1, Lauren Morris2, Jodi Ellison3
1Department of Nutrition and Dietetics, Salford Royal NHS Foundation & University Teaching Trust, Salford, Greater Manchester M6 8HD, UK. chris.slater@srft.nhs.uk.
Abstract:
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.
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