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Nutrients. 2017 Dec 8;9(12). pii: E1338. doi: 10.3390/nu9121338.

Nutrition in Pregnancy Following Bariatric Surgery.

Author information

1
Department of Nutrition and Dietetics, Salford Royal NHS Foundation & University Teaching Trust, Salford, Greater Manchester M6 8HD, UK. chris.slater@srft.nhs.uk.
2
Department of Diabetes & Endocrinology, Salford Royal NHS Foundation & University Teaching Trust, Salford, Greater Manchester M6 8HD, UK. Lauren.morris@srft.nhs.uk.
3
Department of Surgery, Salford Royal NHS Foundation & University Teaching Trust, Salford, Greater Manchester M6 8HD, UK. jodi.ellison2@srft.nhs.uk.
4
Department of Diabetes & Endocrinology, Salford Royal NHS Foundation & University Teaching Trust, Salford, Greater Manchester M6 8HD, UK. akheel.syed@manchester.ac.uk.
5
Faculty of Biology, Medicine & Health, The University of Manchester, Manchester M13 9PL, UK. akheel.syed@manchester.ac.uk.

Abstract

The widespread use of bariatric surgery for the treatment of morbid obesity has led to a dramatic increase in the numbers of women who become pregnant post-surgery. This can present new challenges, including a higher risk of protein and calorie malnutrition and micronutrient deficiencies in pregnancy due to increased maternal and fetal demand. We undertook a focused, narrative review of the literature and present pragmatic recommendations. It is advisable to delay pregnancy for at least 12 months following bariatric surgery. Comprehensive pre-conception and antenatal care is essential to achieving the best outcomes. Nutrition in pregnancy following bariatric surgery requires specialist monitoring and management. A multidisciplinary approach to care is desirable with close monitoring for deficiencies at each trimester.

KEYWORDS:

bariatric surgery; nutritional status; pregnancy

PMID:
29292743
PMCID:
PMC5748788
DOI:
10.3390/nu9121338
[Indexed for MEDLINE]
Free PMC Article

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