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.
Planned Parenthood of Northern New England, Portland, ME 04101, USA. amyaharris@gmail.com
Amy A
AA
Harris
Mary K
MK
Barger
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