Summary

In this conversation, Dr. Terry-Lynne South discusses pregnancy after bariatric surgery. She explains that weight loss and the resolution of conditions like polycystic ovarian syndrome can increase fertility in women who have had bariatric surgery. However, she cautions that oral contraceptives may not be as effective in the first 12-18 months after surgery due to changes in drug absorption. Dr. South recommends long-acting reversible contraceptives for bariatric patients. She also emphasizes the importance of nutrition before and during pregnancy, including the need for folate, iron, and protein. Dr. South advises finding a qualified dietitian experienced in bariatric surgery and prenatal care. She highlights the potential risks and complications of falling pregnant too soon after surgery, including neural tube defects and intrauterine growth retardation. Pregnancy after bariatric surgery requires special attention to ensure proper nutrition and metabolic health for both the mother and the baby. Small for gestational age babies are at risk for developing metabolic health issues and obesity later in life. Protein intake is crucial during pregnancy, and while it's best to get protein from food, protein supplements can be used if dietary needs are not met. It's important for post-bariatric surgery pregnant women to be proactive in seeking early medical care and discussing their unique nutritional needs. Screening for gestational diabetes may require alternative methods for post-bariatric patients. Advocacy and asking the right questions are key to receiving appropriate care.