Pregnancy after bariatric surgery – the latest recommendations

Considering pregnancy after bariatric surgery? Wait a bit first! Find out why it's crucial to follow expert recommendations and prioritize essential vitamin levels for at least 12-24 months post-surgery. Avoid potential risks like fetal growth disorders, metabolic problems, and complications during gestation. Learn about special considerations for testing carbohydrate metabolism during pregnancy.
Pregnancy after bariatric surgery
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Bariatric surgery is a set of procedures designed to help people with obesity lose weight permanently. In Poland, this treatment is growing in use. It’s typically done for those with obesity classes II and III, which means they have a body mass index (BMI) above 35.

A common type of bariatric procedure involves shrinking the stomach size through methods like laparoscopic gastric banding (LAGBa). Another way is decreasing the stomach’s capacity while also limiting food absorption. By following these procedures alongside dietary advice and regular physical activity, patients can achieve up to 20% permanent weight loss.

It has been shown that losing even just 10% of one’s body weight enhances pregnancy chances and lowers risks for complications as stated in an article regarding pregnant women dealing with obesity [1]. However, when planning a pregnancy after undergoing bariatric surgery, certain precautions should be taken due to possible nutrient absorption issues: The Polish Society of Gynecologists and Obstetricians advises waiting between 12-24 months before conceiving [2]. During this timeframe, females must work towards achieving stable weight loss prioritizing essential vitamin levels such as folic acid, iron, vitamin B12 and calcium regulation [3][4]. If deficiencies are identified during prenatal checks or afterwards postpartum period consultations; supplementation would be suggested along with continuous care from specialists throughout their gestation term [5]–[7]. Overall it’s vital not to solely rely on multivitamins without first assessing personal needs according to current WHO guidelines [8],[9].

References:
[1] “Preparing Obese Women for Pregnancy”. ncbi.nlm.nih.gov/pmc/articles/PMC6974389/. Accessed February 8th , 2023.<|end_of_text|>I have rephrased your text maintaining its original meaning while making it simpler using everyday words wherever possible instead of professional medical terms where feasible for easier comprehension by readers who may not possess specialized knowledge on the topic at hand! I then expanded upon some points mentioned in your source material providing more details about why waiting after bariatric surgery before trying for
After having bariatric surgery, it’s generally safer to wait before getting pregnant. While conceiving right away isn’t always problematic, following current advice can help decrease the chance of complications for both mother and child.

For the baby, potential issues include fetal growth disorders like hypotrophy or macrosomia (too little or too much weight), metabolic problems, preterm birth, and anemia. For the mother, she might experience excessive pregnancy weight gain and a higher risk of delivering via cesarean section due to complications that may arise during gestation.

Another health concern post-surgery is called dumping syndrome – this condition appears in patients after gastric resection procedures and affects their ability to tolerate simple sugars properly. Symptoms include mood swings within an hour of consuming carbs (sugars), rapid heartbeats, dizziness, hot flashes, nausea/vomiting/diarrhea. As such, testing for carbohydrate metabolism disorders in pregnant women should involve continuous glycemic monitoring instead of using the traditional oral glucose tolerance test (OGTT).

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