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Nutritional Implications of Bariatric Surgery on Pregnancy Management—A Narrative Review of the Literature

Authors :
Anna Różańska-Walędziak
Maciej Walędziak
Anna Mierzejewska
Ewa Skopińska
Malwina Jędrysik
Beata Chełstowska
Source :
Medicina, Vol 59, Iss 10, p 1864 (2023)
Publication Year :
2023
Publisher :
MDPI AG, 2023.

Abstract

One in three women of reproductive age is obese. The mainstay treatment for obesity is bariatric surgery, and the following weight reduction results in a decrease in pregnancy adverse effects, including gestational diabetes mellitus, pregnancy-induced hypertension, and macrosomia. However, nutritional and vitamin deficiencies due to changes in the gastrointestinal tract after bariatric surgery are associated with an increase in the risk of fetal growth retardation and small for gestational-age neonates. The purpose of this review was to analyze the available recent literature on the subject of the management of pregnancy after bariatric surgery. We searched for available articles from 2007 to 2023 and chose articles of the greatest scientific and clinical value. Micronutrient, vitamin, and protein supplementation is recommended in the prenatal period and throughout the pregnancy. It is advised that pregnant women with a history of bariatric surgery should be provided with regular specialist dietary care. There is still a lack of recommendations about the optimum gestational weight gain after different types of bariatric surgery and for patients of different metabolic statuses. Women of reproductive age undergoing bariatric procedures should be provided with appropriate counseling about adequate contraception, the recommended time-to-conception interval, and the positive and negative influence of bariatric surgery on perinatal outcomes.

Details

Language :
English
ISSN :
16489144 and 1010660X
Volume :
59
Issue :
10
Database :
Directory of Open Access Journals
Journal :
Medicina
Publication Type :
Academic Journal
Accession number :
edsdoj.72ff6d7bc9204654a01cc5f2cc1feb1c
Document Type :
article
Full Text :
https://doi.org/10.3390/medicina59101864