Posted - March 20, 2009

Bariatric Patients and Pregnancy

Nutrition is instrumental in ensuring any pregnancy is off to a safe and healthy start and special consideration is paid toward post-surgery bariatric patients who are pregnant. Depending on what type of bariatric surgery you have undergone, your nutritional needs will vary. For most patients, the first step to continue to lose body fat is simply following the Dr. Stewart’s dietary advice to remain healthy throughout the pregnancy and beyond.

In some cases, women who undergo Duodenal Switch (biliopancreatic diversion) or Gastric Bypass may need additional nutrition support  during pregnancy in order to be sure they are receiving proper nutrition for the developing fetus. These types of bariatric surgery reroute the intestines which can cause malabsorption and lead to nutritional deficiencies.

All women who are considering becoming pregnant should begin taking prenatal vitamins prior to becoming pregnant and throughout pregnancy. The vitamins should include:

  • Folate
  • Vitamin B12
  • Iron
  • Calcium
  • Vitamin D

Because of the special nutrition needs of women that have had weight loss surgery, it is extremely important your obstetrician be familiar with the type of bariatric surgery you have undergone prior to pregnancy. Dr. Stewart or your obstetrician may refer you to a dietician to help set up a special pregnancy nutritional plan for you to follow to ensure both you and the baby are getting enough nutrients during this pivotal developmental time.

If you are considering pregnancy following weight loss surgery, remember that it is best to wait until your weight stabilizes which may mean delaying up to 12 – 18 months. Dr. Stewart is happy to discuss the timing of your pregnancy based on your progress following surgery.