Weight Loss surgery is well known to help fertility in patients since it improves PCO, restores ovulation, and regulates the menstrual cycle. The surgery does not force the patient to have a c-section or to be high risk, risk depends if their BMI is more than 30.
If you are thinking about pregnancy or are pregnant, then here are some things you need to focus on:
BMI before the pregnancy
Increase of weight during pregnancy
Level of physical activity
General Recommendations:
Have monthly consultation with your doctor
Begin taking supplements 3-6 months before trying to get pregnant (Multi-vitamin and minerals)
Have monthly checkups post-partum and during lactancy
Wait at least 12-18 months after surgery to get pregnant
Recommended Daily Nutrition Plan:
Total daily calories 1800
third trimester 300 extra calories
If there is more than one baby you add 450 calories after the second trimester + 15-20g of protein per baby.
100-150g daily of fruits, vegetables and grains
30-35 g daily of Fats mono and polyunsaturated (this help fetus neurological development)
60g of daily protein
5-6 meals a day (portion 180-200 g)
1800-2000 ml water per day
Recommended Supplements
Prenatal vitamins - 1 daily
Calcium citrate 1000-1200 mg daily
Vitamin D- 2000-6000 UI
Ferrous sulphate 40-65 mg
Vitamin B12- 350-500 ug
Folic acid- 4mg
Zinc- 15mg
Fiber 20-25g
Omega-3 1000-2000mg
Recommended weight regain:
BMI < 18.5 = 12.5-18 KG - 27.5-19.6 LBS
BMI 18.5 - 24.9 = 11.5-16 KG - 25.3-35.2 LBS
BMI 15-29.9 = 7-11.5KG- 15.4-25.3 LBS
BMI > 30 = 5-9 KG - 11-19.8LBS
The insufficient gain of weight improves the risk of Small Gestational Age & congenital anomalies.
This article was written in collaboration with nutritionist Andrea Solorzano.