Curbing Obesity from One Generation to Another: the Effects of Bariatric Surgery on the In Utero Environment and Beyond. 1.Collaborators GBDO, et al.
Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med. 2017;377(1):13–27. Google Scholar 2.Riley L, Wertz M, McDowell I. Obesity in pregnancy: risks and management. Am Fam Physician. 2018;97(9):559–61.PubMed Google Scholar 3.Catalano PM, Shankar K. Effects of Bariatric Surgery on Maternal and Infant Outcomes of Pregnancy—An Evidence Analysis Center Systematic Review - Journal of the Academy of Nutrition and Dietetics. What Is Known About the Nutritional Intake of Women during Pregnancy Following Bariatric Surgery? A Scoping Review. Pregnancy after bariatric surgery: Consensus recommendations for periconception, antenatal and postnatal care - Shawe - - Obesity Reviews. 4.1 Nutritional advice A large proportion of pregnant women have a poor diet,59 independent of BS history.
The focus should remain on the regular monitoring of diet quality and nutritional status and on encouraging a general healthy dietary pattern and lifestyle.3 At the same time, a healthy diet post‐BS may differ in food group proportions from that of the nonsurgical pregnant population. This is due to a greater emphasis on lean protein sources, followed by fruit and vegetables, and lastly starchy carbohydrates, as the main component of the post BS diet.
There is little or no evidence‐based specific dietary (food‐based) advice for pregnancies post BS and few published reports of the dietary intakes of this population.60 It therefore seems prudent to combine what we know about an appropriate postsurgical diet with the accepted general dietary advice for pregnancy to provide appropriate guidance. 4.2 Postprandial syndromes (dumping syndromes) 4.3 Nutritional supplementation and monitoring. Abdominal Pain and Vomiting in a Pregnant Woman Who Has Had a Gastric Bypass Procedure. A 31-year-old gravida 2, para 1 patient of 36 weeks’ gestation had undergone a laparoscopic Roux-en-Y gastric bypass (RYGB) 4 years ago, resulting in prepregnancy weight loss of 70 kg, or 128% of her excess weight.
She awakened with severe lower back pain, abdominal pain, nausea, and vomiting. She came to the emergency department with 10/10 abdominal pain but no fever, chills, vaginal bleeding, or rupture of membranes. Her abdominal examination revealed diffuse tenderness and guarding. She was initially diagnosed as having preterm labor and was given antibiotics, steroids, an epidural catheter for pain management, and intravenous fentanyl as needed.
Fertility, Pregnancy and Lactation After Bariatric Surgery – a Consensus Statement from the OEGGG. Pregnancy after bariatric surgery: a narrative literature review and discussion of impact on pregnancy management and outcome. Hypoglycemia during oral glucose tolerance test among post–bariatric surgery pregnant patients: incidence and perinatal significance - Surgery for Obesity and Related Diseases. Nutrition in Pregnancy Following Bariatric Surgery. Excess weight is a major public health problem in Western societies, with overweight defined as a body mass index (BMI) ≥ 25 kg/m2, and clinical obesity defined as a BMI ≥ 30 kg/m2, affecting men and women across all age groups.
Approximately one half of women of childbearing age in England are overweight or obese, with a similarly high prevalence in several European countries, the USA and Australia [1,2,3,4]. Obesity is associated with an increased risk of developing various medical conditions including type 2 diabetes mellitus (T2DM), coronary artery disease, fatty liver disease, obstructive sleep apnea and osteoarthritis .
In addition to these health risks, women who are obese are more likely to encounter issues with subfertility or infertility [6,7,8,9]. Bariatric Surgery in Women of Childbearing Age, Timing Between an Operation and Birth, and Associated Perinatal Complications. Question In women of childbearing age, is a prior bariatric operation associated with risks for perinatal complications, and does the time between an operation and birth alter these risks?
Findings In this cohort study, mothers with prior bariatric surgery had infants with significantly higher risks for prematurity, small-for-gestational-age status, and intensive care unit admission. Operation-to-birth intervals of less than 2 years were associated with the highest risks for prematurity and intensive care unit admission. Meaning Bariatric operations in women of childbearing age are associated with elevated risks for subsequent perinatal complications, but some of these risks may decrease after postoperative year 2. Importance Metabolic changes after maternal bariatric surgery may affect subsequent fetal development. ניתוחים בריאטריים, הריון ומניעת הריון - הגישה הטיפולית בנשים הרות או הנוטלות טיפולים הורמונליים. Nutrition and Pregnancy after Bariatric Surgery.