Preg­nancy af­ter gas­tric by­pass safe

The Republican Herald - - HEALTH -

Preg­nancy af­ter gas­tric by­pass can be safe and healthy. Re­search sug­gests preg­nancy af­ter the mother has weight-loss surgery might be safer than hav­ing a preg­nancy that could be com­pli­cated by obe­sity, the Mayor Clinic News Net­work re­ported.

While more re­search is needed, stud­ies sug­gest that weight-loss surgery be­fore preg­nancy might pro­tect women and their ba­bies from obe­sity-re­lated prob­lems dur­ing preg­nancy, in­clud­ing ges­ta­tional di­a­betes and pre-eclamp­sia. The lat­ter fea­tures high blood pres­sure and po­ten­tial or­gan dam­age — of­ten the kid­neys — af­ter 20 weeks of preg­nancy

If you have had weight-loss surgery and are con­sid­er­ing preg­nancy, con­sult your health care provider for help with plan­ning be­fore con­cep­tion. You also might con­sult a reg­is­tered di­eti­tian nu­tri­tion­ist and your gas­tric by­pass sur­geon for ad­vice on nu­tri­tion and weight gain dur­ing preg­nancy.

Ex­perts typ­i­cally rec­om­mend post­pon­ing preg­nancy un­til your weight sta­bi­lizes — typ­i­cally at least 12 to 18 months af­ter surgery. Some ex­perts rec­om­mend wait­ing longer.

Rapid or per­sis­tent weight loss might de­prive a growing baby of im­por­tant nutri­ents, lead­ing to low birth weight. To mon­i­tor your baby’s growth, your health care provider might rec­om­mend a fe­tal ul­tra­sound dur­ing the third trimester.

Af­ter con­sid­er­ing the type of weight-loss surgery and your spe­cific nu­tri­tional needs, your health care provider might also rec­om­mend cer­tain nu­tri­tional sup­ple­ments, such as folic acid, vi­ta­min B-12, vi­ta­min D, iron and cal­cium, in ad­di­tion to a daily pre­na­tal vi­ta­min be­fore and dur­ing preg­nancy.

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