Supplementation Adherence and Outcomes Among Pregnant Women After Bariatric Surgery
Most patients undergoing bariatric surgery (BS) are fertile women whose postoperative (post-op) hormonal balance and weight loss increases fertility, frequently leading to pregnancy. This study aims to analyze supplementation adherence of pregnant women after BS and perinatal outcomes.
Materials and Methods
This retrospective study analyzed records from women after BS who consulted nutritionists at least twice during pregnancy. Each patient received nutritional guidance about vitamin and mineral supplementation and protein intake. Demographic data, body mass index (BMI), percentage of weight loss (%WL) at conception, maximum post-op BMI and %WL, post-op time at conception, supplementation adherence, biochemical data, possible gestational complications, and infant’s birth weight were collected.
Data was obtained from 23 women (mean age 33 ± 4 years). On average, patients became pregnant 43 months after surgery. The mean preoperative BMI was 40.2 kg/m2, the maximum post-op %WL was 36.6%, and the mean %WL at conception was 32.0%. No gestational intercurrence was related to biochemical data. Supplementation adherence was 34.7% for one multivitamin and 34.7% for two multivitamins; 43.5% for iron, 43.5% for omega 3, 39.1% for folic acid, 17.4% for B complex, and 60.8% for calcium. Mean infant birth weight was 3.0 kg, and it was not associated with maximum %WL, % WL at conception, and time since BS at conception.
Our data indicate satisfactory adherence to post-op micronutrient supplementation and few gestational complications following BS. Moreover, child’s birth weight was not associated with maximum %WL, %WL at conception, or time since BS.
KeywordsBariatric/metabolic surgery Pregnancy Nutritional supplementation Perinatal outcomes
The authors are greatly indebted to Mr. William Vitelli for English translation and revision.
This study was funded by Gastrocirurgia Clinic, Brasilia, Brazil.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
Ethical Approval Statement
All procedures performed in this study were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed Consent Statement
Informed consent was obtained from all individual participants included in the study.
- 2.Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Endocr Pract. 2013;19(2):337–72.CrossRefGoogle Scholar
- 3.Goldenberg L, Pomp A. Management of Nutritional Complications. In: Nguyen N, Blackstone R, Morton J, Ponce J, Rosenthal R, editors. The ASMBS textbook of bariatric surgery. New York: Springer; 2015. p. 257–66.Google Scholar
- 5.Kothari SN. Impact of bariatric surgery on infertility. In: Nguyen N, Blackstone R, Morton J, Ponce J, Rosenthal R, editors. The ASMBS textbook of bariatric surgery. New York: Springer; 2015. p. 433–5.Google Scholar
- 21.Kaska L, Kobiela J, Abacjew-Chmylko A, et al. Nutrition and pregnancy after bariatric surgery. IRSN Obes. 2013;2013:492060.Google Scholar
- 22.Kreykes A, Choxi H, Rothberg A. Post-bariatric surgery patients: your role in their long-term care. J Fam Pract. 2017;66(6):356–63.Google Scholar