Anyone gotten pregnant "too soon" post-op?
Please read the following information. I also have information on reliable methods of post-op birth control on my profile.
Getting pregnant within the first 18 months or so after bariatric surgery can be dangerous—not just because you may sabotage your weight loss, and not even because it can be hard to nourish both yourself and your fetus when your intake is restricted and you have some degree malabsorption (with the RNY or DS) going on, but mainly because during your active weight-loss phase you will be in ketosis a lot of the time. KETONES CAN CAUSE FETAL BRAIN DAMAGE, including but not limited to learning disabilities and ADHD. This kind of problem does not show up on ultrasounds or other routine prenatal tests and may not in fact become evident until the child is school-aged. PLEASE DON’T RISK IT. Use reliable methods of birth control until at least 18 months post-op or until your weight has stabilized for 3-4 months. Here is an extract from an article that talks about this danger. Ketones in pregnancy—Extract from “Journal for Women’s Health" Jan 2008 Levels of glucose, free fatty acids and ketone bodies have been assessed during each trimester in long-term follow-up studies of infants of women with and without diabetes. These studies have reported an inverse association between maternal circulating levels of ketone acids in the second and the third trimesters and psychomotor development and intelligence in the offspring at 3-5 years of age through to 9 years of age.[16,17] Even when investigators re-evaluated their findings by taking into account socioeconomic status, race or ethnicity and the presence of gestational or pre-existing diabetes, this association persisted. Although the correlation between IQ and ketone levels was weak, it was statistically significant; therefore, it would be prudent to avoid excessive ketonemia or ketonuria during pregnancy.[18] · Rizzo T, Metzger BE, Burns K. Correlations between antepartum maternal metabolism and child intelligence. N. Engl. J. Med. 325, 911-916 (1991). · Rizzo TA, Dooley SL, Metzger BE, Cho NH, Ogata ES, Silverman BL. Prenatal and perinatal influences on long-term psychomotor development in offspring of diabetic mothers. Am. J. Obstet. Gynecol. 173(6), 1753-1758 (1995).
Getting pregnant within the first 18 months or so after bariatric surgery can be dangerous—not just because you may sabotage your weight loss, and not even because it can be hard to nourish both yourself and your fetus when your intake is restricted and you have some degree malabsorption (with the RNY or DS) going on, but mainly because during your active weight-loss phase you will be in ketosis a lot of the time. KETONES CAN CAUSE FETAL BRAIN DAMAGE, including but not limited to learning disabilities and ADHD. This kind of problem does not show up on ultrasounds or other routine prenatal tests and may not in fact become evident until the child is school-aged. PLEASE DON’T RISK IT. Use reliable methods of birth control until at least 18 months post-op or until your weight has stabilized for 3-4 months. Here is an extract from an article that talks about this danger. Ketones in pregnancy—Extract from “Journal for Women’s Health" Jan 2008 Levels of glucose, free fatty acids and ketone bodies have been assessed during each trimester in long-term follow-up studies of infants of women with and without diabetes. These studies have reported an inverse association between maternal circulating levels of ketone acids in the second and the third trimesters and psychomotor development and intelligence in the offspring at 3-5 years of age through to 9 years of age.[16,17] Even when investigators re-evaluated their findings by taking into account socioeconomic status, race or ethnicity and the presence of gestational or pre-existing diabetes, this association persisted. Although the correlation between IQ and ketone levels was weak, it was statistically significant; therefore, it would be prudent to avoid excessive ketonemia or ketonuria during pregnancy.[18] · Rizzo T, Metzger BE, Burns K. Correlations between antepartum maternal metabolism and child intelligence. N. Engl. J. Med. 325, 911-916 (1991). · Rizzo TA, Dooley SL, Metzger BE, Cho NH, Ogata ES, Silverman BL. Prenatal and perinatal influences on long-term psychomotor development in offspring of diabetic mothers. Am. J. Obstet. Gynecol. 173(6), 1753-1758 (1995).
I can only tell you about my experience. I got pregnant 4 months after surgery. I have a happy, healthy, smart baby girl and I am so grateful and blessed in that regard. It was extremely dangerous for the baby and I would not recommend getting pregnant so soon after surgery to anyone. I did not lose all of the weight that I was supposed to lose. I am still struggling daily with trying to get the rest of my 120 pounds that I have left to lose off. My advice is to wait the 18 months. Give your body and your surgery time to heal and work for ya! :o) Best of luck!!!
Hugs,
Danielle
Hugs,
Danielle
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