The following useful tips and important facts on pregnancy following gastric bypass, gastric plication, gastric sleeve or lap band procedure are based on the experience of bariatric surgeons who spent many years performing bariatric surgery and observing long-term effects of these procedures.
- Bariatric surgery may result in a boost of fertility, in both men and women. Evidence suggests that women challenged by obesity-related fertility problems linked may start ovulating regularly again, after they undergo an adequate bariatric surgery. Furthermore, metabolic and reproductive abnormalities due to polycystic ovarian syndrome (PCOS), which affect fertility, may be entirely resolved after successful bariatric surgery. Because the first post-operative period is the most sensitive one regarding weight loss control, pregnancy in this period could compromise the success of any bariatric procedure. Because of the fertility boost, the use of birth control methods in order to avoid pregnancy during the first two years following surgery is essential.
- Among the risks that bariatric surgery patients are confronted with in their post-operative life, vitamin and nutrient deficiencies are the ones that could badly affect both mother and fetus during pregnancy. It takes a knowledgeable nutritionist to be able to assess what kind of dietary instructions need to be followed by women who underwent bariatric surgery and plan on conceiving. Nutritional instructions should be given so, that deficiency in B12, iron, calcium, and vitamin D can be avoided. Nausea, another common post-surgery complication can be accentuated by morning sickness. In some cases nausea can only be treated with medication. Ask the advice of your bariatric team on medication safe during pregnancy.
- Weight loss diminishes the chance for gestational diabetes and pregnancy-induced high blood pressure to occur, but there still is a chance for these to develop. Learn to listen to your body and in the same time keep informed by attending weight loss seminars that discuss pregnancy. Keep in close contact with the bariatric nurse and the nutritionist at your weight loss clinic, to allow for quick and effective intervention should your condition require it.
- Make sure to prepare in time for the possibility of delivery through C-section. The experience of weight loss surgeons shows that women who underwent a weight loss procedure are more likely to give birth through cesarean than to have vaginal delivery. While vaginal delivery may still be a viable option, it is for a medical specialist to have the final word in this matter.
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