Effects of nutritional status on pregnancy after bariatric surgery

Öz

Obesity is an important public health problem worldwide and increases the risk of many chronic diseases. Obesity can also cause health problems such as infertility and polycystic ovary syndrome in women of childbearing age. However, obese pregnant women are at greater risk of preeclampsia and gestational diabetes. Therefore, weight loss in women with obesity will both increase the probability of conception and reduce the risk of complications that may occur during pregnancy. Especially women prefer bariatric surgery for weight loss in recent years. While the risk of complications that may occur during pregnancy decreases with weight loss after bariatric surgery, nutritional deficiencies may occur due to insufficient nutrition and may affect the fetal development of the baby. For this reason, women should not become pregnant for at least 12-18 months after bariatric surgery, necessary supplements should be taken before pregnancy and regular follow-ups should be made. The purpose of this review is to examine how nutritional status after bariatric surgery affects the pregnancy process.

Anahtar Kelimeler

• Bariatric surgery
• obesity
• fetal development
• pregnancy nutrition

Bariyatrik cerrahi sonrası beslenme durumunun gebelik üzerine etkileri

Öz

Obezite dünya genelinde önemli bir halk sağlığı sorunudur ve birçok kronik hastalığın oluşum riskini artırmaktadır. Obezite doğurganlık çağındaki kadınlarda infertilite ve polikistik over sendromu gibi sağlık sorunlarının görülmesine de neden olabilmektedir. Bununla birlikte obez gebeler daha fazla preeklemsi ve gestasyonel diyabet riski altındadırlar. Bu yüzden obez kadınlarda ağırlık kaybı hem gebe kalma ihtimalini artıracaktır hem de gebelikte oluşabilecek komplikasyonların riskini azaltacaktır. Özellikle kadınlar son yıllarda bariyatrik cerrahiyi ağırlık kaybı için yaygın olarak tercih etmektedir. Bariyatrik cerrahi sonrası ağırlık kaybı ile gebelikte oluşabilecek komplikasyonların riski azalırken, yetersiz beslenme nedeniyle besin ögesi yetersizlikleri görülebilir ve fetal gelişimini etkileyebilir. Bu sebeple bariyatrik cerrahi sonrası kadınların en az 12-18 ay gebe kalmamaları, gebelik öncesinden itibaren gerekli takviyelerin alınması ve düzenli olarak takiplerinin yapılması gerekmektedir. Bu derlemenin amacı, bariyatrik cerrahi sonrası beslenme durumunun gebelik sürecini nasıl etkilendiğini incelemektir.

Anahtar Kelimeler

• Bariatrik cerrahi
• obezite
• fetal gelişim
• gebelikte beslenme

Kaynakça

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