Pregnancy outcomes following bariatric surgery
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Date
2022
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Sievietes, kurām iestājas grūtniecība pēc svara zaudēšanas procedūras, var būt unikāla dzemdību populācija. Ar bariatrisko ķirurģiju saistīto kaloriju ierobežojuma un malabsorbcijas dēļ. Tādēļ pacientēm ieteicams atlikt grūtniecību vismaz uz divpadsmit mēnešiem pēc operācijas, lai sasniegtu mērķi zaudēt svaru un stabilizētu uzturvērtību. Šajā periodā ieteicams lietot neorālus kontracepcijas līdzekļus (piemēram, intrauterīnās ierīces, implantus), jo perorālie kontracepcijas līdzekļi uzsūcas mazāk ātri. Pēc pirmā gada pēc operācijas un BMI normalizēšanas augļa anomālijas un augļa bojāejas rādītāji ir tādi paši kā vispārējā populācijā, un var mēģināt grūtniecību. Tomēr pacientēm, kurām iestājas grūtniecība, ieteicams papildus lietot vitamīnus un regulāri veikt augļa augšanas ultraskaņas izmeklējumus. Tā kā bariatriskā ķirurģija ir kļuvusi arvien populārāka jaunu sieviešu vidū, es vēlos uzsvērt, kā šī procedūra var nelabvēlīgi ietekmēt grūtniecību un augļa attīstību. Ārstiem ir jāapzinās šī ietekme, lai pēc bariatriskās operācijas pareizi informētu pacientus par iespējamām komplikācijām un ieteiktu atbilstošus pasākumus.
Women who become pregnant after a weight loss procedure may represent a unique obstetric population. Due to the caloric restriction and malabsorption associated with bariatric surgery. Therefore, patients are advised to postpone their pregnancy for at least twelve months after the surgery to achieve the goal of weight loss and stabilize nutritional status. A non-oral form of contraception (e.g., intrauterine device, implant) is recommended during this period because oral contraceptives are less rapidly absorbed. After the first year following surgery and normalization of BMI, fetal anomalies and fetal demise rates are like the general population and pregnancy can be attempted. However, in patients who do become pregnant, vitamin supplementation and regular ultrasound examinations of fetal growth are recommended. Because bariatric surgery has become increasingly popular among young women, I would like to highlight how this procedure can adversely affect pregnancy and the developing fetus. Clinicians must be aware of those impacts to properly guide patients following bariatric surgery about possible complications and suggest appropriate interventions.
Women who become pregnant after a weight loss procedure may represent a unique obstetric population. Due to the caloric restriction and malabsorption associated with bariatric surgery. Therefore, patients are advised to postpone their pregnancy for at least twelve months after the surgery to achieve the goal of weight loss and stabilize nutritional status. A non-oral form of contraception (e.g., intrauterine device, implant) is recommended during this period because oral contraceptives are less rapidly absorbed. After the first year following surgery and normalization of BMI, fetal anomalies and fetal demise rates are like the general population and pregnancy can be attempted. However, in patients who do become pregnant, vitamin supplementation and regular ultrasound examinations of fetal growth are recommended. Because bariatric surgery has become increasingly popular among young women, I would like to highlight how this procedure can adversely affect pregnancy and the developing fetus. Clinicians must be aware of those impacts to properly guide patients following bariatric surgery about possible complications and suggest appropriate interventions.
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
Liekais svars. Aptaukošanās. Uzturs. Aptaukojusies grūtniece. Bariatriskā ķirurģija, Overwight. Obesity. Nutrition. Obese pregnant female. Bariatric surgery