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Review
. 2019 Nov;20(11):1507-1522.
doi: 10.1111/obr.12927. Epub 2019 Aug 16.

Pregnancy after bariatric surgery: Consensus recommendations for periconception, antenatal and postnatal care

Jill Shawe  1 , Dries Ceulemans  2   3 , Zainab Akhter  4 , Karl Neff  5 , Kathryn Hart  6 , Nicola Heslehurst  4 , Iztok Štotl  7 , Sanjay Agrawal  8 , Regine Steegers-Theunissen  9 , Shahrad Taheri  10 , Beth Greenslade  11 , Judith Rankin  4 , Bobby Huda  12 , Isy Douek  11 , Sander Galjaard  9 , Orit Blumenfeld  13 , Ann Robinson  14 , Martin Whyte  15 , Elaine Mathews  16 , Roland Devlieger  2   3   17
Affiliations
Review

Pregnancy after bariatric surgery: Consensus recommendations for periconception, antenatal and postnatal care

Jill Shawe et al. Obes Rev. 2019 Nov.

Abstract

The objective of the study is to provide evidence-based guidance on nutritional management and optimal care for pregnancy after bariatric surgery. A consensus meeting of international and multidisciplinary experts was held to identify relevant research questions in relation to pregnancy after bariatric surgery. A systematic search of available literature was performed, and the ADAPTE protocol for guideline development followed. All available evidence was graded and further discussed during group meetings to formulate recommendations. Where evidence of sufficient quality was lacking, the group made consensus recommendations based on expert clinical experience. The main outcome measures are timing of pregnancy, contraceptive choice, nutritional advice and supplementation, clinical follow-up of pregnancy, and breastfeeding. We provide recommendations for periconception, antenatal, and postnatal care for women following surgery. These recommendations are summarized in a table and print-friendly format. Women of reproductive age with a history of bariatric surgery should receive specialized care regarding their reproductive health. Many recommendations are not supported by high-quality evidence and warrant further research. These areas are highlighted in the paper.

Keywords: bariatric surgery; gynaecology; metabolic surgery; obesity; obstetrics; pregnancy.

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Conflict of interest statement

The Institute of Advanced Studies (IAS) provided financial support of the international workshop organized at the University of Surrey, UK. RD received a fundamental clinical investigatorship from FWO Flanders (1803311N). The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Print‐friendly presentation of the recommendations for healthy pregnancies after bariatric surgery. [Colour figure can be viewed at http://wileyonlinelibrary.com]
See this image and copyright information in PMC

Comment in

  • Contraception After Bariatric Surgery.
    Alexopoulos A. Alexopoulos A. Dtsch Arztebl Int. 2020 Apr 3;117(14):251-252. doi: 10.3238/arztebl.2020.0251b. Dtsch Arztebl Int. 2020. PMID: 32449898 Free PMC article. No abstract available.

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