POST BARIATRIC SURGERY AND PREGNANCY

Question 1

What percentage of bariatric procedures are performed on women?

Answer 1

Over 80%

This statistic highlights the predominance of women undergoing bariatric surgery.

Question 2

What is the recommended time frame to avoid conception after bariatric surgery?

Answer 2

12 to 18 months

This recommendation aims to optimize weight loss and reduce nutritional deficiencies.

Question 3

Which bariatric procedures may reduce the effectiveness of oral contraceptives?

Answer 3

Procedures causing malabsorption

Examples include biliopancreatic diversion, jejunoileal bypass, and Roux-en-Y bypass.

Question 4

What contraceptive method is preferable for women who have undergone malabsorptive bariatric procedures?

Answer 4

Intrauterine device (IUD)

This is recommended due to the reduced effectiveness of oral contraceptives.

Question 5

Is pregnancy recommended during active weight loss post-bariatric surgery?

Answer 5

No

Pregnancy during this period is not advised.

Question 6

Is breastfeeding contraindicated after bariatric surgery?

Answer 6

No

Breastfeeding is considered safe after bariatric surgery.

Question 7

What nutritional levels should be monitored before, during, and after pregnancy in women who have had bariatric surgery?

Answer 7

Nutritional and micronutrient levels

Important levels include iron, ferritin, vitamin B12, calcium, PTH, and 25-hydroxyvitamin D.

Question 8

Fill in the blank: Women who have had bariatric surgery often seek _______ care.

Answer 8

preconception or prenatal

This reflects the importance of monitoring health during reproduction.