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Bariatric surgery and pregnancy: risks and benefits

The Bariatric surgery has become an increasingly common option for people battling morbid obesity. It offers an effective path to weight loss and management obesity-related comorbidities. However, bariatric surgery and pregnancy raises key questions when a woman is considering it. What are the risks and benefits of bariatric surgery before and during pregnancy? This article explores in detail this crucial issue for the health of women and their future babies.



close up of a doctor measuring the belly of a pregnant woman


Bariatric surgery: an effective way to fight obesity


The bariatric surgery, which includes procedures such as the sleeve gastrectomy (Sleeve), the gastric bypass and adjustable gastric banding group, has demonstrated its effectiveness in the significant and lasting weight loss. For many people, this procedure has been a turning point in their fight against obesity, improving their quality of life and reducing the risk of serious diseases such as type 2 diabetes, heart disease and sleep apnea. .

However, for women of childbearing age or those planning a pregnancy, there are legitimate questions about the safety of the bariatric surgery. Here are the main risks and benefits to consider:


The risks of bariatric surgery before pregnancy:

  1. Nutritional deficits: The bariatric surgery can lead to nutritional deficiencies, such as iron, vitaminB12 deficiency and folic acid, which are essential for a healthy pregnancy.

  2. Excessive Weight Loss: If weight loss< /a> is too fast or too large, it can negatively affect fertility and increase the risk of complications during pregnancy.

  3. Challenges in Weight Management During Pregnancy: Once pregnant, it can be difficult to maintain sufficient caloric intake to support fetal growth while continuing to lose weight.


The benefits of bariatric surgery before pregnancy:


  1. Reduced Risk of Complications: A weight loss< /a> significant before conception can reduce the risk of serious complications during pregnancy, such as gestational diabetes, hypertension and premature birth.

  2. Fertility Enhancement: For some overweight or obese women, the loss of weight resulting from bariatric surgery can improve fertility and increase the chances of conceiving.

  3. Less Weight to Lose After Pregnancy: If a woman loses weight before pregnancy, she will have less weight to lose after the birth of her baby, which may make it easier to return to a healthy weight.


Bariatric surgery during pregnancy: a delicate decision


If a woman has ever had a bariatric surgery and becomes pregnant, this raises additional questions. It is essential to work closely with a specialized medical team to optimally manage the pregnancy. Here are some key points to consider:

  1. Strict Medical Monitoring: Close monitoring of nutrition, fetal growth and potential deficiencies is crucial during pregnancy.

  2. Possibility of Restoring the Surgery: In some cases, it may be necessary to restore the bariatric surgery during pregnancy to manage nutritional complications.

  3. Prenatal Planning: Planning pregnancy after bariatric surgery requires careful preparation, including consultation with a specialist nutritionist and obstetrician.


Conclusion: Balance risk and reward


The decision to consider pregnancy before or after a < span style="color: #000000;">bariatric surgery is complex and must be tailored to each individual case. It is essential to consult an experienced healthcare professional in the management of pregnancy after a bariatric surgery. A careful approach to nutrition, medical supervision and prenatal planning can help minimize risk and maximize health benefits for mother and baby.

Ultimately, the bariatric surgery may be a valid option for overweight or obese women planning pregnancy, but it requires careful medical management to ensure an outcome positive for all.



Estelle Berrich-Pasquier

Estelle Berrich Pasquier

Life Coach

Mobile: (+ 33 ) 6 22 30 64 20

WhatsApp / Viber: (+ 216 ) 55 291 639




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