Obesity is a condition of excessive fat accumulation in the body that disrupts health. Obesity kroner leads to various diseases such as heart diseases, type 2 diabetes, liver lubrication, sleep apnea, hypertension.
In addition to these health risks, the rate of infertility in obese women is quite high. Complications such as stillbirth, gestational diabetes, preeclampsia, are quite common in obese women.
In addition, pregnant women who are obese have a much higher rate of cesarean section, bleeding, late wound healing. Diet and lifestyle changes are the first to treat obesity, while bariatric surgery comes into play when these conditions are insufficient.
As obesity surgery becomes more common day by day, the number of women pregnant after surgery is also increasing. After obesity surgery, uncontrolled pregnancies can also be seen in protein, vitamin-mineral and calorie malnutrition.
Bariatric surgery greatly reduces the complications that may occur for obese women, but controlled conception after surgery is very important. As the degree of obesity decreases, fertility will increase. It is important to conceive at least 12-18 months Pregnancy after bariatric surgery.
During nutritional follow-up, patients are recommended to eat a balanced and regular diet that is poor in carbohydrate. Nausea and vomiting in particular are common during pregnancy and affect 80% of pregnant women.
In these patients, small and frequent meals are recommended, while support can be obtained from nutritious liquids that help meet the needs.
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When to get pregnant after bariatric surgery?
Excess fat in the body reduces fertility by reducing the hormones necessary for the pregnancy process and increasing the anti-pregnancy hormones. In addition, excess adipose tissue causes many diseases such as insulin resistance, ovarian cysts, pregnancy-specific heart and blood pressure diseases.
It not only reduces fertility, but also risks the pregnancy process. Women who want to get pregnant and cannot stay due to excessive adipose tissue in the body and have obesity surgery reach their ideal weight and this operation increases fertility in women.
Obesity in men also reduces sperm quality. Sperm quality increases in men who reach their ideal weight with obesity surgery. Those who plan pregnancy after bariatric surgery should wait an average of one and a half years for a healthy pregnancy process by filling the body’s necessary stores of vitamins and minerals.
As a result, bariatric surgery is used as an effective method of treating obesity. In order to prevent protein, vitamin and mineral malnutrition in women undergoing bariatric surgery, pregnancy should be delayed for at least 12-18 months after surgery. After bariatric surgery, it requires regular follow-up with a multidisciplinary approach.
What happens if you get pregnant too soon after bariatric surgery?
In general, pregnancy after weight loss surgery can be done safely by taking steps to minimize risks to your body and the developing fetus. Studies show reduced risk of pregnancy-related hypertension (high blood pressure) and gestational diabetes. For best results, discuss your options with your surgeon and obstetrician.
How should weight be when pregnant?
After bariatric surgery, the average weight gain in pregnant women should be around 12-15. In recent years, thanks to the follow-up of regular Obstetricians, excessive weight gain during pregnancy has decreased and healthy and normal birth rates have increased.
The general opinion about the weight taken during pregnancy is that it is given after birth. Unfortunately, this view is not true.
Excess weight taken during pregnancy significantly increases the risk of postpartum obesity and diabetes. Babies born between 2500 and 4000 G are considered normal birth weight. Babies born in this range have a lower risk of sugar and heart disease in their later life than babies born with a weight of more than 4000 G.
They also have stronger immune systems. However, large babies born above 4000 G reduce the likelihood of healthy birth and increase the likelihood of cesarean section. Large babies are 2 times more likely to be obese in later life than babies born of normal weight.
How does weight-loss surgery affect pregnancy?
After weight-loss surgery macrosomia, gestational diabetes, and high blood pressure-related problems decreased; low birth weight babies and preterm birth rates compared to obese women increases, but obesity surgery C-section, stillbirth, low complications, such as there is evidence that it is causing.
Women with obesity surgery are recommended for a healthy pregnancy: at least 1 year after obesity surgery, adequate-protein, vitamin-mineral intake, and regular follow-up by specialists with both blood tests and ultrasound. A healthy pregnancy is possible with proper nutrition and regular follow-up.
Does bariatric surgery prevent you from getting pregnant?
Getting away from obesity both makes it easier to be a mother and allows you to have a healthier pregnancy process. Bariatric surgery never prevents you from getting pregnant, but in order to have a healthy pregnancy, you need to wait up to 1 year after surgery.
After bariatric surgery, the body gets used to the new nutrition process and gives excess weight, which leads to a healthy pregnancy process. It is also useful to wait to slightly avoid some common complaints during pregnancy. At the beginning of these complaints are stomach problems.
Nausea and vomiting are observed under the influence of increased hormones during pregnancy, while slowing down when the stomach empties causes a feeling of discomfort. And in the later stages of pregnancy, reflux complaints begin to appear more often.
This condition is more intense in people with pre-existing stomach discomfort or who have undergone surgery to the stomach. For this reason, it is recommended that patients undergoing gastric reduction surgery do not become pregnant for 1 year if possible.
Is it easier to get pregnant after a gastric sleeve?
Research has shown improvement in problems such as polycystic ovary syndrome, which can prevent ovulation after tube stomach surgery. After tube stomach surgery, which has positive results for overweight women who want to get pregnant, the most important thing to consider is to avoid pregnancy for 12-18 months after the operation.
Because if extra precautions are needed after surgery, getting pregnant can pose life risks. The most important factor after Gastric sleeve surgery is to lose weight in a healthy way. After surgery, a balanced and rapid weight loss will occur.
Getting pregnant during this process can be a danger to the health of both the expectant mother and the baby. Achieving a healthy weight is important for everything to be normal throughout pregnancy. After reaching the desired weight in December, there is no harm in pregnancy, which occurs with support from experts.
Is Pregnancy High Risk After Gastric Sleeve Surgery?
The risk of pregnancy after gastric sleeve surgery is usually low. Although some women may experience complications following the surgery, this isn’t always the case.
While there isn’t a strict rule for when to become pregnant after gastric sleeve, most research has shown that there is no correlation between pregnancy risks before and after gastric sleeve surgery.
Moreover, the optimal time to conceive is likely to depend on the individual. For example, older women may want to start family planning sooner than the two-year waiting period. For fertility treatments, they may want to start earlier than this.
Before conceiving, pregnant women should avoid gaining weight after bariatric surgery. They should wait at least a year after the surgery and monitor their weight and nutritional needs. They should also seek advice from a dietitian and ob-gyn regarding a pregnancy after gastric sleeve surgery.
As with any type of surgery, there are certain risks associated with pregnancy after gastric sleeve surgery. Consequently, it’s important to follow the recommendations of your surgeon and make sure you’re healthy enough for a pregnancy.
The results of one study have mixed results. The results showed that women with gastric bypass surgery were 2.7 times more likely to have babies of the smallest gestational age.
Compared to those with laparoscopic gastric surgery, women with this procedure had 76% lower risk of having a large baby. The study’s authors acknowledge several limitations, including that the risk of pregnancy may be influenced by unmeasured confounding factors.
References:
- Santulli P, Mandelbrot L, Facchiano E, et al. Obstetrical and neonatal outcomes of pregnancies following gastric bypass surgery: a retrospective cohort study in a French referral centre. Obes Surg. 2010;20:1501–1508. [Google Scholar]
- Weintraub AY, Levy A, Levi I, et al. Effect of bariatric surgery on pregnancy outcome. Int J Gynaecol Obstet. 2008;103:246–51. [Google Scholar]
