Abstract
Women of childbearing age (18-45) comprise a significant proportion of obese adults, and comprise the vast majority of patients undergoing bariatric surgery. Obesity is associated with numerous complications of fertility, pregnancy, delivery, and fetal development, many of which can be mitigated or eliminated with preconception weight loss. As with the general obese population, bariatric surgery is the most effective path to sustainable weight loss for women of childbearing age. Pregnancy in women who have previously undergone weight reduction surgery is, especially when managed by an experienced multidisciplinary team, generally safe for both mother and fetus. Pregnancies of women postbariatric surgery are at a lower risk for many complications that are associated with obesity, such as diabetes, preeclampsia, and macrosomia. Special considerations in postbariatric surgery pregnancy include monitoring gestational weight gain and supplementing micronutrients, and maintaining a high index of suspicion for surgical complications.
Original language | English |
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Title of host publication | Metabolism and Pathophysiology of Bariatric Surgery |
Subtitle of host publication | Nutrition, Procedures, Outcomes and Adverse Effects |
Publisher | Elsevier Inc. |
Pages | 161-169 |
Number of pages | 9 |
ISBN (Electronic) | 9780128040638 |
ISBN (Print) | 9780128040119 |
DOIs | |
State | Published - 1 Jan 2017 |
Keywords
- Bariatric surgery
- Fertility
- Neonatal outcomes
- Nutrition
- Obesity
- Obstetric outcomes
- Pregnancy
ASJC Scopus subject areas
- General Medicine