Amy A. Harris, CNM, MS, is in clinical practice at Planned Parenthood of Northern New England, Portland, ME.
Specialized Care for Women Pregnant After Bariatric Surgery
Article first published online: 21 JAN 2011
2010 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 55, Issue 6, pages 529–539, November-December 2010
How to Cite
Harris, A. A. and Barger, M. K. (2010), Specialized Care for Women Pregnant After Bariatric Surgery. Journal of Midwifery & Womens Health, 55: 529–539. doi: 10.1016/j.jmwh.2010.06.018
- Issue published online: 21 JAN 2011
- Article first published online: 21 JAN 2011
- bariatric surgery;
- gastric bypass surgery;
- pregnancy complications
Growing numbers of women today will seek bariatric surgery before pregnancy. Protein-calorie malnutrition; hyperemesis; intestinal hernias; dumping syndrome; anemia; and deficiencies in calcium, folic acid, and vitamins B12, D, and K are all possible complications that can impact pregnancy. This article reviews the nutritional and pregnancy-related consequences of current surgical procedures and summarizes existing research showing positive and negative effects of weight-loss surgery on pregnancy outcomes. Practice-based clinical recommendations will help guide clinicians caring for the increasing number of women who become pregnant after having bariatric surgery.