Specialized care for women pregnant after bariatric surgery.
Growing numbers of women today will seek bariatric surgery before pregnancy. Protein-calorie malnutrition; hyperemesis; intestinal hernias; dumping syndrome; anemia; and deficiencies in calcium, folic acid, and vitamins B12, D, and K are all possible complications that can impact pregnancy. This article reviews the nutritional and pregnancy-related consequences of current surgical procedures and summarizes existing research showing positive and negative effects of weight-loss surgery on pregnancy outcomes. Practice-based clinical recommendations will help guide clinicians caring for the increasing number of women who become pregnant after having bariatric surgery.
Harris
Amy A
AA
Planned Parenthood of Northern New England, Portland, ME 04101, USA. amyaharris@gmail.com
Barger
Mary K
MK
D018798:Anemia, Iron-Deficiency / Q000209:etiology / Q000517:prevention & control; D001361:Avitaminosis / Q000209:etiology / Q000517:prevention & control; D050110:Bariatric Surgery / Q000009:adverse effects*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008286:Malabsorption Syndromes / Q000209:etiology / Q000517:prevention & control; D044342:Malnutrition / Q000209:etiology / Q000517:prevention & control; D008880:Midwifery / Q000379:methods*; D024802:Nurse's Role; D009767:Obesity, Morbid / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology / Q000451:nursing* / Q000517:prevention & control*; D011295:Prenatal Care / Q000379:methods*; D012307:Risk Factors; D016387:Women's Health