RESUMO
Iron deficiency and iron deficiency anaemia are frequent complications to pregnancy and especially iron deficiency is underdiagnosed because of scarce symptoms. Due to the increased need for iron and the variation in iron storage in healthy pregnant women, iron supplementation should be individualised based on the level of haemoglobin and ferritin. First choice of treatment is oral iron supplementation, unless there is a failure of treatment, a known condition with malabsorption, or severe iron deficiency anaemia very close to due date. In these cases, intravenous iron may be considered.
Assuntos
Anemia Ferropriva , Ferro , Complicações Hematológicas na Gravidez , Anemia Ferropriva/sangue , Anemia Ferropriva/diagnóstico , Anemia Ferropriva/tratamento farmacológico , Suplementos Nutricionais , Feminino , Compostos Ferrosos/administração & dosagem , Humanos , Ferro/administração & dosagem , Ferro/sangue , Deficiências de Ferro , Gravidez , Complicações Hematológicas na Gravidez/sangue , Complicações Hematológicas na Gravidez/diagnóstico , Complicações Hematológicas na Gravidez/tratamento farmacológico , Trimestres da GravidezRESUMO
This is a review of the recommendations regarding pregnancy after bariatric surgery from the Danish Society of Obstetrics and Gynaecology. The risk of vitamin/mineral deficiencies should be emphasized and checked with blood samples. Measurements of fetal growth should be offered at gestational age 28 and 34 as a supplement to the standard prenatal procedures because of the increased risk of intrauterine growth retardation. Because of persistent obesity there is still an increased risk of hypertension and diabetes mellitus. In case of abdominal pain internal herniation should be suspected.
Assuntos
Cirurgia Bariátrica/efeitos adversos , Obesidade Mórbida/complicações , Complicações na Gravidez/etiologia , Cirurgia Bariátrica/métodos , Dinamarca , Suplementos Nutricionais , Feminino , Humanos , Obesidade Mórbida/cirurgia , Guias de Prática Clínica como Assunto , Cuidado Pré-Concepcional , Gravidez , Complicações na Gravidez/prevenção & controle , Recomendações Nutricionais , Fatores de RiscoRESUMO
In the latest years the number of pregnant women having undergone bariatric surgery before pregnancy has increased rapidly. In pregnancy, they seem to have a reduced risk of obesity-related complications but an increased risk of mechanical complications causing small bowel obstruction and complications due to malabsorption. This article reviews the effect of bariatric surgery before pregnancy on obstetric and neonatal outcomes and provides, based on the limited available evidence, recommendations for the management of pregnancy in these women.