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Bariatric surgery and Pregnancy

Bariatric surgery can improve your fertility status. Several studies demonstrated that women, who had obesity-related fertility problems and underwent surgery, started to ovulate regularly for the first time after many years. However, it is important to wait at least 12 months after surgery before you get pregnant and be sure that your metabolism is re-balanced.

It is safe to get pregnant 12-24 months after bariatric surgery.

Following surgery, your body passes through stressful changes and experiences serious nutritional changes, which can be a problem for a growing baby. Physicians recommend avoiding pregnancy for about 12-24 months after surgery to prevent nutritional deficiencies.

If you become pregnant

If you plan to become pregnant after your weight is balanced following surgery, it is highly recommended that you stay under the follow-up of a multidisciplinary team. It is very important that you take multivitamins and mineral supplements and are monitored by a specialist for any nutritional deficiency. A careful evaluation of the gastrointestinal complaints and a relevant consultancy in addition to a different approach for gestational diabetes is required.

Bariatric surgery can produce a positive change in your fertility. Several studies have found that women with obesity-related fertility issues start ovulating regularly for the first time in years after having bariatric surgery. However, it is important to wait at least 12 months after surgery, and to be sure that your metabolism has stabilised, before trying to become pregnant.

Pregnancy after bariatric surgery is safe — after 12—24 months

After bariatric surgery, your body goes through some potentially stressful changes and significant nutritional upheaval, which can pose problems for a growing baby. To protect you and your baby from the risk of malnutrition, doctors recommend that women avoid pregnancy for 12—24 months after having bariatric surgery.

Long-acting contraception is strongly recommended

If you become pregnant

If you are planning to become pregnant after your post-surgery weight stabilises, it is highly recommended that you remain under the care of a multidisciplinary health care team. It is crucial that your take multivitamin and mineral supplements and that you are regularly monitored by a specialist for deficiencies.

REFERENCES:

https://www.babycenter.com/0_seven-facts-about-pregnancy-after-weight-loss-surgery_1504874.bc?showAll=true
Narayanan RP, SyedAA. Pregnancy Following Bariatric Surgery—Medical Complications and Management. OBES SURG (2016) 26:2523–2529
Joël Schlatter. Oral Contraceptives after Bariatric Surgery. Obes Facts 2017;10:118–126
Kominiarek MA. Preparing for and Managing a Pregnancy After Bariatric Surgery. Semin Perinatol. 2011 December ; 35(6): 356–361.