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[Pregnancy and bariatric surgery : from pre-conception to postpartum]
Mélina Michel1, Patricia Gilet1, Styliani Mantziari2
1Service d'endocrinologie, diabétologie et métabolisme, Centre hospitalier universitaire vaudois, 1011 Lausanne.
Revue Medicale Suisse
|March 20, 2024
Summary
Pregnancy after bariatric surgery requires careful planning and monitoring. Women should be screened for nutritional deficiencies and malabsorption, with dietary management crucial for a healthy pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Bariatric Surgery
- Maternal-Fetal Medicine
Context:
- Bariatric surgery is increasingly common in women of childbearing age.
- Pregnancy following bariatric procedures presents unique challenges.
- Obesity complications during pregnancy may be mitigated by prior surgery.
Purpose:
- To provide recommendations for managing pregnancies after bariatric surgery.
- To highlight potential nutritional deficiencies and malabsorption issues.
- To guide healthcare providers in the appropriate follow-up of these pregnancies.
Summary:
- Post-bariatric surgery pregnancies necessitate planned care and attention.
- Reduced nutrient intake and malabsorption are key concerns requiring screening and supplementation.
- Dietary management and prompt referral for abdominal pain are essential.
Impact:
- Improved outcomes for pregnancies in women with a history of bariatric surgery.
- Enhanced awareness of nutritional risks and management strategies.
- Guidance for optimizing maternal and fetal health in this specific population.
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