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ACTIONS FOR POLICY AND IMPLEMENTATION

Research suggests that women do not understand how bariatric surgery might impact pregnancy, and there is a lack of evidence regarding how women who have bariatric surgery are supported thoughout pregnancy. This gap must be addressed, as the potential health and developmental risks are significant.

Further research is needed to develop tailored advice and resources for women experiencing pregnancy following bariatric surgery, to ensure optimal management and outcomes.

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RESEARCH CONTEXT

We know that bariatric surgery procedures, such as lap band or gastric bypass surgeries, limit the amount of food a woman can eat. They can also alter the way nutrients are absorbed, leading to nutritional deficiencies. As a result, if a woman becomes pregnant too soon after undergoing bariatric surgery the growth and development of the foetus may be impacted.

Because of this, it is recommended that women wait at least 12 months after undergoing bariatric surgery before attempting to become pregnant.

Although women are supported with preparation for surgery and some post-operative follow-up, there is a lack of evidence regarding how women who have bariatric surgery are supported through pregnancy planning and beyond. It is also unclear how these women experience pregnancy and lactation following bariatric surgery.  

The outcomes of our scoping review highlights that more work needs to be done to understand these women’s experiences. Such information can be used to develop tailored advice and resources for women to meet their needs and improve pregnancy outcomes.

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