Micronutrient screening, monitoring, and supplementation in pregnancy after bariatric surgery.

Content Provider	Europe PMC
Author	Huang, Bonnie Yo, Jennifer H Gandhi, Shital Maxwell, Cynthia
Copyright Year	2021
Description	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.
Abstract	We present the case of a woman with a history of biliopancreatic diversion andduodenal switch procedure who developed severe malnourishment requiring totalparenteral nutrition during three pregnancies. The widespread use of bariatricsurgery, particularly among those of reproductive age, has led to an increase inthe number of women who become pregnant following bariatric surgery. There is apaucity of evidence to guide nutritional recommendations for women duringpregnancy post bariatric surgery. We review this literature and summarize keypublished evidence and provide comprehensive recommendations concerning thecommon challenges in the management of nutrition status during pregnancy. Thefocus is on the impact of malabsorptive bariatric surgeries on pregnancyoutcomes, nutrient deficiencies, recommendations for micro- and macronutrientmonitoring and supplementation, and altered glucose metabolism and implicationsfor diabetes screening. Optimizing pregnancy outcomes for individuals followingbariatric surgery requires multidisciplinary team management includingobstetrical providers, obstetric medicine specialists, and dietitians.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC9574444&blobtype=pdf
ISSN	1753495X
Volume Number	15
PubMed Central reference number	PMC9574444
Issue Number	3
PubMed reference number	36262823
Journal	Obstetric Medicine [Obstet Med]
e-ISSN	17534968
DOI	10.1177/1753495x211013624
Language	English
Publisher	SAGE Publications
Publisher Date	2021-05-21
Publisher Place	Sage UK: London, England
Access Restriction	Open
Rights License	This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). © The Author(s) 2021
Subject Keyword	Pregnancy nutrition bariatric surgery malabsorption micronutrients supplementation
Content Type	Text
Resource Type	Article
Subject	Obstetrics and Gynecology