Preparing for and managing a pregnancy after bariatric surgery

Michelle A. Kominiarek*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

55 Scopus citations


The number of bariatric surgeries performed in the United States has increased exponentially. Given that most patients are female and of reproductive age, it is important for clinicians who manage women's health issues to be aware of the surgery, its long-term goals, and the potential effect on future pregnancies. Most pregnancies after bariatric surgery have successful outcomes with decreased occurrences of gestational diabetes and hypertension and lower birth weight compared with control patients. Following nutritional guidelines and supplementation in the event of deficiencies are critical in the provision of prenatal care to this unique population. Other important issues include a multidisciplinary team management, a different approach to screening for gestational diabetes, careful evaluation of any gastrointestinal complaints, and appropriate counseling for gravidas who still remain obese during pregnancy. Further research should investigate the long-term maternal outcomes in pregnancies after bariatric surgery as well as the effect on the offspring.

Original languageEnglish (US)
Pages (from-to)356-361
Number of pages6
JournalSeminars in Perinatology
Issue number6
StatePublished - Dec 2011


  • Bariatric
  • Maternal obesity
  • Pregnancy
  • Surgery

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health


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