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Pregnancy outcome following bariatric surgery
Author(s) -
Khan Rahat,
Dawlatly Bashir,
Chappatte Oliver
Publication year - 2013
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1111/j.1744-4667.2012.00142.x
Subject(s) - medicine , pregnancy , weight loss , weight loss surgery , morbidly obese , obesity , fertility , surgery , multidisciplinary approach , obstetrics , safer , general surgery , population , gastric bypass , social science , genetics , environmental health , sociology , biology , computer security , computer science
Key content There is an exponential increase in the number of morbidly obese women of childbearing age undergoing bariatric surgery as the ultimate treatment for their obesity. Pregnancy after bariatric surgery is safer, with fewer complications, than pregnancy in morbidly obese women. Patients should be strongly advised not to get pregnant for at least 12–18 months following bariatric surgery. Multidisciplinary care before, during and after pregnancy following bariatric surgery helps to prevent nutrition‐related and surgical complications.Learning objectives To outline the safety, advantages and limitations of bariatric surgery procedures in relation to maternal and neonatal outcomes. To understand that the key to a healthy pregnancy after weight‐loss surgery is paying attention to nutrition. To learn the importance of the multidisciplinary management of post‐surgery pregnancies, including prepregnancy counselling.Ethical issues Often GP s and obstetricians are not fully informed about the management of pregnant individuals who have had bariatric surgery. There are no recommendations that detail the nutrients that women should consume during pregnancy if they have had previous weight loss surgery. A literature review demonstrates both positive and negative associations of weight loss procedures with fertility.