Micronutrient screening, monitoring, and supplementation in pregnancy after bariatric surgery

被引:2
作者
Huang, Bonnie [1 ]
Yo, Jennifer H. [2 ]
Gandhi, Shital [3 ]
Maxwell, Cynthia [3 ]
机构
[1] St Josephs Healthcare Hamilton, Hamilton, ON, Canada
[2] Monash Hlth, Melbourne, Vic, Australia
[3] Mt Sinai Hosp, Toronto, ON, Canada
关键词
Pregnancy; nutrition; bariatric surgery; malabsorption; micronutrients; supplementation; AMERICAN-SOCIETY; OBESITY; GUIDELINES; DEFICIENCIES; MANAGEMENT; DIAGNOSIS; NUTRITION; OUTCOMES; MOTHER;
D O I
10.1177/1753495X211013624
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
We present the case of a woman with a history of biliopancreatic diversion and duodenal switch procedure who developed severe malnourishment requiring total parenteral nutrition during three pregnancies. The widespread use of bariatric surgery, particularly among those of reproductive age, has led to an increase in the number of women who become pregnant following bariatric surgery. There is a paucity of evidence to guide nutritional recommendations for women during pregnancy post bariatric surgery. We review this literature and summarize key published evidence and provide comprehensive recommendations concerning the common challenges in the management of nutrition status during pregnancy. The focus is on the impact of malabsorptive bariatric surgeries on pregnancy outcomes, nutrient deficiencies, recommendations for micro- and macronutrient monitoring and supplementation, and altered glucose metabolism and implications for diabetes screening. Optimizing pregnancy outcomes for individuals following bariatric surgery requires multidisciplinary team management including obstetrical providers, obstetric medicine specialists, and dietitians.
引用
收藏
页码:151 / 159
页数:9
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