- • Weight loss can increase fertility.
- • Wait at least 12-18 months before pregnancy. 
- • Monitor nutrient intake closely.
- • Educate obstetrics and gynecology (OB-GYN) physicians about weight loss surgery.
- • Most choose a Cesarean delivery due to expansion of uterus and increased risk of internal herniation .
Monitor for gestational diabetes and pregnancy-induced hypertension Nutrition counseling regime for bariatric pregnancy includes four sessions with a nutritionist to discuss adequate nutrient supplementation, lactation, and pregnancy diet.
Session 1 [6-8 weeks] Healthy eating, dietary supplements
for first trimester
Physical activity, nausea issues
Session 2 [16-20 weeks] Body changes/discomforts, dietary
increased protein + fatty acid needs Screen for gestational diabetes
Session 3 [24-28 weeks] Assess nutrient status: macro and
Adequate Vitamin D3, B12, folate Preterm labor issues
Session 4 [30-32 weeks] Diet adequacy for delivery and infant
Nutrient supplementation postpregnancy—especially for lactation