Reducing heavy operation | How long can you consider to be pregnant after reducing heavy operation? What tests need to be done?

 

According to research reports, weight loss is most obvious in patients 12 to 18 months after the operation of heavyweight loss, and the incidence of postoperative nutritional and endocrine complications is relatively high and serious in this period. To avoid the occurrence of low fetal weight and deformity due to malnutrition after pregnancy, some experts suggest that pregnancy should be considered after 12 to 18 months after the operation. Some scholars compared the pregnancy outcomes within 12 months after weight-loss surgery and 12 to 18 months after surgery, and the difference was not significant. However, due to the small amount of research data, there is no clear regulation on the time of conception after weight-loss surgery, but most believe that it is safer to consider conception after 12-18 months after surgery to reduce the risk of nutritional deficiency to the mother and fetus.

There are various surgical methods for weight loss surgery, and the planned pregnancy time after surgery should be different. However, there is a lack of large sample data support at present, so it is generally considered to be safe to have a pregnancy after 12 to 18 months.

The nutritional status of the woman should be determined by the examination before pregnancy, so the examination mainly involves the degree of postoperative weight loss and the current nutritional status. Besides, routine pre-pregnancy examinations should be performed, including basic female endocrine, basic follicular number, to determine whether the woman has spontaneous ovulation, salpingectomy should be performed to determine whether the fallopian tubes are unblocked, and the level of male semen should be checked. A comprehensive assessment of these results will be carried out before recommendations are made on pregnancy assistance.