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Review
. 2022 Feb 7;216(2):96-102.
doi: 10.5694/mja2.51373. Epub 2022 Jan 16.

Fertility, pregnancy and post partum management after bariatric surgery: a narrative review

Sarah Cheah  1 , Yijun Gao  1 , Shirley Mo  1 , Georgia Rigas  2 , Oliver Fisher  1   3 , Daniel L Chan  1   3 , Michael G Chapman  3   4 , Michael L Talbot  1   3
Affiliations
Review

Fertility, pregnancy and post partum management after bariatric surgery: a narrative review

Sarah Cheah et al. Med J Aust. .

Abstract

•Of the women who gave birth in Australia in 2018, 47% had overweight or obesity, with obesity being associated with both maternal and fetal complications. •Bariatric surgery improves fertility and some pregnancy-related outcomes. •Following bariatric surgery, pregnancy should be delayed by at least 12-18 months due to adverse pregnancy outcomes associated with rapid weight loss. •Contraception should be prescribed after bariatric surgery, although the effectiveness of the oral contraceptive pill may be reduced due to malabsorption and contraceptive devices such as intrauterine devices should be considered as first line therapy. •After bariatric surgery, women should undergo close monitoring for nutritional insufficiencies before, during and after pregnancy. Expert opinion recommends these women undergo dietary assessment and supplementation to prevent micronutrient deficiencies. •Bariatric surgeons, bariatric medical practitioners, bariatric dieticians, the patient's usual general practitioner, obstetricians, and maternity specialists should be involved to assist in the multidisciplinary management of these complex patients.

Keywords: Bariatric surgery; Contraception; Obesity; Pregnancy; Pregnancy complications.

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References

    1. Australian Institute of Health and Welfare . Overweight and obesity: an interactive insight [Cat. No. PHE 251]. Canberra: AIHW. 2020. https://www.aihw.gov.au/reports/overweight‐obesity/overweight‐and‐obesit... (viewed Sept 2020).
    1. Best D, Avenell A, Bhattacharya S. How effective are weight‐loss interventions for improving fertility in women and men who are overweight or obese? A systematic review and meta‐analysis of the evidence. Hum Reprod Update 2017; 23: 681–705. - PubMed
    1. Koning AMH, Mutsaerts MAQ, Kuchenbecher WKH, et al. Complications and outcome of assisted reproduction technologies in overweight and obese women. Hum Reprod 2012; 27: 457–467. - PubMed
    1. Aune D, Saugstad OD, Henriksen T, Tonstad S. Maternal body mass index and the risk of fetal death, stillbirth, and infant death: a systematic review and meta‐analysis. JAMA 2014; 311: 1536–1546. - PubMed
    1. Mutsaerts MAQ, van Oers AM, Groen H, et al. Randomized trial of a lifestyle program in obese infertile women. N Engl J Med 2016; 374: 1942–1953. - PubMed
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