ABSTRACT: As the rate of obesity increases, it is becoming more common for providers of women’s health care to encounter patients who are either contemplating or have had operative procedures for weight loss, also known as bariatric surgery. The counseling and management of patients who become pregnant after bariatric surgery can be complex. Although pregnancy outcomes generally have been favorable after bariatric surgery, nutritional and surgical complications can occur and some of these complications can result in adverse perinatal outcomes. The purpose of this Practice Bulletin is to provide a summary of the risks of obesity in pregnancy, review the available literature regarding outcomes of pregnancy after bariatric surgery, and provide recommendations for the care of the patient during her pregnancy and delivery after bariatric surgery.
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