Pregnancy after bariatric surgery: maternal and fetal risks—an expert opinion

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Obesity in pregnancy increases risks such as gestational diabetes, preeclampsia, and congenital anomalies, necessitating weight reduction before conception.
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Bariatric surgery can improve pregnancy outcomes by enhancing insulin sensitivity, but it also poses risks like small for gestational age infants and postpartum hemorrhage.
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Pregnant women post-RYGB may experience severe hypoglycemia, requiring careful dietary management and monitoring to prevent complications.
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Micronutrient deficiencies are common in pregnancies following bariatric surgery, highlighting the need for nutritional monitoring before and during pregnancy.
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A multidisciplinary approach is essential for managing pregnancies after bariatric surgery, focusing on preconception counseling and coordinated care throughout pregnancy.

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