As the number of people having weight loss surgery grows, more and more women of childbearing age will undergo such surgeries. There are many important questions to be answered regarding women's health (fertility, contraception and pregnancy)
If pregnancy occurs before this recommended time, closer observation of maternal weight and nutritional status may be beneficial, and serial ultrasound monitoring of fetal growth should be considered.
Protein, iron, folate, calcium, and vitamins B12 and D are the most common nutrient deficiencies after weight loss surgery especially gastric bypass surgery.
Evaluation for deficiencies of these nutrients should be considered at the beginning of pregnancy, and treatment should be initiated if any deficits are present. If no deficits are noted, a complete blood count and measurement of iron, ferritin, calcium, and vitamin D levels every trimester should be considered. This also requires eating several small meals throughout the day, nutritionist consultation and taking additional vitamin supplements.
Women who become pregnant after weight loss surgery need to make sure they are getting enough of the following nutrients:
At any time, with pregnancy, early consultation with a weight loss surgeon is critical to determine whether the gastrointestinal problems that are common in pregnancy (e.g., nausea, vomiting, abdominal pain) are related to the surgery.
Actually, becoming pregnant after weight loss surgery is less risky than becoming pregnant while still obese.