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.
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St Thomas Hosp, Kings Coll London, Maternal & Fetal Res Unit, Westminster Bridge Rd, London SE1 7EH, EnglandSt Thomas Hosp, Kings Coll London, Maternal & Fetal Res Unit, Westminster Bridge Rd, London SE1 7EH, England
Hezelgrave, N. L.
Oteng-Ntim, Eugene
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St Thomas Hosp, Kings Coll London, Maternal & Fetal Res Unit, Westminster Bridge Rd, London SE1 7EH, EnglandSt Thomas Hosp, Kings Coll London, Maternal & Fetal Res Unit, Westminster Bridge Rd, London SE1 7EH, England
机构:
Leicester Gen Hosp, Diabet Res Ctr, Leicester NIHR Biomed Res Ctr, Leicester, England
Univ Hosp Leicester NHS Trust, Diabet Dept, Leicester, EnglandLeicester Gen Hosp, Diabet Res Ctr, Leicester NIHR Biomed Res Ctr, Leicester, England
Morgan, Harriet
Morrison, Amy E.
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Univ Hosp Leicester NHS Trust, Diabet Dept, Leicester, EnglandLeicester Gen Hosp, Diabet Res Ctr, Leicester NIHR Biomed Res Ctr, Leicester, England
Morrison, Amy E.
Hamza, Malak
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Leicester Gen Hosp, Diabet Res Ctr, Leicester NIHR Biomed Res Ctr, Leicester, England
Univ Hosp Leicester NHS Trust, Diabet Dept, Leicester, England
Univ Leicester, Diabet Res Ctr, Leicester, EnglandLeicester Gen Hosp, Diabet Res Ctr, Leicester NIHR Biomed Res Ctr, Leicester, England
Hamza, Malak
Jones, Cathy
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Leicester Gen Hosp, Diabet Res Ctr, Leicester NIHR Biomed Res Ctr, Leicester, England
Univ Hosp Leicester NHS Trust, Diabet Dept, Leicester, EnglandLeicester Gen Hosp, Diabet Res Ctr, Leicester NIHR Biomed Res Ctr, Leicester, England
Jones, Cathy
Cassar, Caroline Borg
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Univ Hosp Leicester NHS Trust, Diabet Dept, Leicester, EnglandLeicester Gen Hosp, Diabet Res Ctr, Leicester NIHR Biomed Res Ctr, Leicester, England
Cassar, Caroline Borg
Meek, Claire L.
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Leicester Gen Hosp, Diabet Res Ctr, Leicester NIHR Biomed Res Ctr, Leicester, England
Univ Hosp Leicester NHS Trust, Diabet Dept, Leicester, England
Univ Leicester, Diabet Res Ctr, Leicester, EnglandLeicester Gen Hosp, Diabet Res Ctr, Leicester NIHR Biomed Res Ctr, Leicester, England