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Pregnancy Following Bariatric Surgery

  • Isabelle Guelinckx
  • Roland Devlieger
  • Greet Vansant
Chapter

Abstract

Bariatric surgery such as the laparoscopic adjustable gastric-banding or Roux-en-Y gastric bypass is an effective treatment for morbid obesity. Parallel to the increasing prevalence of obesity, the number of performed bariatric operations is increasing. The predominant part of the patients for this type of surgery are women of reproductive age. Health-care providers will therefore increasingly be confronted with pregnant women with a history of gastric surgery. The impact of this surgery on fertility, pregnancy and neonatal outcome is discussed in the book chapter, as well as the potential mechanic complications and nutritional deficiencies due to the surgery. This high-risk subpopulation of pregnant women should be guided by a multidisciplinary team. The recommendations made at the end of the chapter can assist the team in the clinical guidance during the preconceptional, prenatal, and postpartum period.

Keywords

Obstructive Sleep Apnea Bariatric Surgery Gastric Bypass Sleeve Gastrectomy Gestational Weight Gain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Abbreviations

BMI

Body mass index

FSH

Follicular stimulating hormone

GnRH

Gonadotropin releasing hormone

LAGB

Laparoscopic adjustable gastric band

LH

Luteinizing hormone

MIS

Müllerian inhibiting substance

RYGB

Roux-en-Y gastric bypass

SHBG

Sex hormone–binding globuline

SD

Standard deviation

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Isabelle Guelinckx
    • 1
  • Roland Devlieger
    • 2
  • Greet Vansant
    • 1
  1. 1.Department of Nutrition-Public Health MedicineCatholic University LeuvenLeuvenBelgium
  2. 2.Department of Obstetrics and GynaecologyUniversity Hospital LeuvenLeuvenBelgium

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