Gastric bypass and pregnancy

Copyright (c) 2009 Alma Orozco

Obesity in an expectant mother affects adversely on her pregnancy, conception, even affect, because infertility is a common problem associated with obesity. Pregnancy an obese woman tends to be in addition to increase the risk of problems such as gestational diabetes, high blood pressure and restrictions on mobility. Gastric bypass surgery before planning a pregnancy is resulting in outstanding long-term results so a good option for the morbidly obese.

The impact of gastric bypass pregnancy is an important consideration, as women in the reproductive age (between 18 and 45 years of age) 50,000 of bariatric surgery cases annually, or half accounted for the total number of cases between 2003 and 2005.

The drastic reduction in the size of the stomach and rerouting of food around the first part of the small intestine reduces the amount of calories and nutrients that the body absorbs. This can a loss of more than 100 to 150 pounds within a year or two by two mechanisms lead to: decreasing food intake and its absorption.

This is often with regularization of menstrual cycles, normalizing hormone levels and resolution of polycystic ovarian syndrome. This can cause that increased or normal fertility, use of birth control is mandatory.

Because gastric bypass surgery is major surgery, the body takes time to pre-pregnancy additional demands on the cure. The procedure often results in stomach or bowel changes and offset controlled starvation mode rapid weight loss, affecting the patient in a to facilitate the nutritional status of women. Found eighteen months she would be ideal minimum period between weight loss surgery and conception to prevention of risks such as maternal malnutrition, premature birth and miscarriage. Was born healthy babies, mothers who became pregnant within the first year after their operation, but wait can help to ensure a successful pregnancy.

Due to the altered metabolism and nutritional status pregnant women, that after gastric bypass surgery are susceptible to deficiencies in B12, iron, folic acid, calcium, vitamin D and even protein calories, malnutrition and fat malabsorption.

It can be particularly difficult, get the required nutrients due to nausea – a common postoperative complication, can aggravate morning sickness. An antiemetic, which sure is prescribed during pregnancy may, in order to overcome this problem. It is therefore imperative that a nutritionist (also called a dietitian) to monitor the calories and nutrition intake of the mother.

Dietary changes can eat small, frequent meals with more protein and modifications to the routine glucose screening to avoid dumping syndrome, a common long-term effect of gastric bypass surgery. Special vitamin supplements, which specifically deal following stomach pregnancy needs maybe required, together with special formulations of iron and other micronutrients.

This problem is often exacerbated by the problems of the poor body image, and the fear of regaining lost weight after radical surgery. So that expectant mothers can go to the extreme are at risk – diets while pregnant, the serious nutritional consequences can have either, for the baby, or to much weight gain. Additional emotional support and nutrition advice is essential during this period.

Researchers have found that there was no significant difference in rates of complications during pregnancy between the surgery group and the control group of obese women. Prices many adverse maternal and neonatal results may in fact lower in women who become pregnant, after rates in pregnant women, who are obese bariatric surgery to have had. These include a reduction in the rate of macrosomia, premature birth and low birth weight. In fact no cases were reported of overweight women of gestational diabetes and preeclampsia in the surgery group across from 22.1% and 3.1%, or in the control group.

A higher incidence of miscarriage, was however reported in this subgroup of patients.

The impact of bariatric surgery on the rate of caesarean section were variable delivery. Overall, bariatric surgery wi