I am 15w4d pregnant and I had gastric sleeve February 18,2014 so almost 8 months ago. I was wondering how much weight everyone put on with their pregnancy after surgery. So far I have lost 20lbs since finding out I was Oregon but I've been so sick and not able to keep anything down. This past week I have put on 3lbs and have been extra hungry. Even though I've lost 102lbs I'm still considered overweight until I'm down to 140 so the charts say I only have to gain 10lbs, My surgeon says I don't have to gain any, and the OB office and labor and delivery nurses all act shocked when they see I've lost weight. I am scared about gaining a lot but I also want the baby getting enough. 

Did you have an early ultrasound to gauge gestational age?  

I got pregnant 2+ years after RNY, and my OB also had no experience with a post-WLS patient.  At my 20 week anatomy scan, my baby measured in the 17th percentile, but everything looked normal.  They scheduled me for another ultrasound for 28 weeks to make sure baby kept gaining.  By that scan, he had dropped to the 10th percentile.  At that point, my OB sent me to the MF.  I basically had ultrasounds every other wee****il 33 weeks, and then weekly ultrasounds until I delivered. By 32 weeks, I also had to start weekly non-stress tests.

My MF said to be safe I should stop running even though I track my food and know I was getting more than enough calories.  He could find no reason why baby was small, but thought to be safe we should cover all the bases. My son kept going lower on the percentile chart until he got to around 2.3.  My OB decided to deliver at 39 weeks (C-section).

When born, my son weighed 6.6, which seemed perfectly fine to me.  I guess technically he was at the 9th percentile, but really 6.6 looked skinny but normal.  That's slightly rambling, but I guess my point is not to worry at this point.  Go to the MF.  Keep on top of things and make sure everything is ok.  However, don't panic and stress.  Even at the 2.3 percentile, I did not worry because everything else was great with my pregnancy.  I passed the non-stress tests in record time every week.  In the end, all the ultrasounds were not particularly accurate.  My son was just a small baby.  He's two months old and just now outgrowing newborn sized clothes and diapers.

Hi! Congratulations! I'm only 6 weeks pregnant. I had VSG 15 months ago and this is my first pregnancy. I fear that I'm going to stretch my sleeve too but I think as long as we eat small, more frequent meals, we will be okay. When I called my surgeon's office, they said for now I don't have to do anything different. But I am going to meet with my nutritionist on Oct 1st so I will have more info then!

You should probably use the due date that corresponds with your menstrual cycle (if it was a normal 24-30 day cycle).  If you had missing periods or long cycles - an early ultrasound should have been done to determine a due date.

I am 5m Post op and had my first ultrasound when I was 8w3d pregnant.  the u/s showed a baby measuring approx. 8w5d - so we are keeping my due date based on my last period.

IT IS NOT ACCURATE TO USE ULTRASOUND TO CALCULATE DUE DATES AFTER THE FIRST TRIMESTER.  After the 1st tri - your genetics come into play more and some babies get big, some are average, some are small.  In first tri - the basics are forming, so most babies measure pretty much the same based on gestation.

If your baby is measuring VERY SMALL (Intra uterine growth restriction) you should be seeing a perinatologist at a maternal fetal medicine clinic for extra ultrasounds to check baby's health and growth in the womb.

You shouldn't be changing due dates at this point.  The placenta starts to break down the further past 40 weeks you get.  Sometimes it is safer for baby to come out sooner and get outside nutrition if your body isn't able to give what baby needs in the womb.

Ask your surgeon/WL clinic for pregnancy guidelines to share with your OB.

Also - I'd go ahead and ask for the referral to the MFM/Perinatologist. 

You should also have your vitamin levels check each trimester.

The plan for me and my baby is to see how things go, if baby is measuring small at the 20week anatomy scan, I will start monthly growth ultrasounds with the MFM clinic.  If things seem to measure on track and my vitamin level blood work is all normal - I can be treated normal.

I am lucky and my OB has had VSG herself, so she is familiar with the surgery and what I can/can't do with food.

My surgeon's guideline si to eat when hungry - increase fluids - increase protein by 10g a day (so for me that is 75g as a goal).

Those tests are just as accurate as a doctor's pee stick.  You are Pregnant!  Congrats!

Make sure you are getting at least 1000mg of Folic Acid in each day!  It is good that you were already on a prenatal.

You should have your vitamin levels all checked now in 1st trimester, again in 2nd trimester, and in 3rd trimester too.  Adjust supplements as necessary based on those results.

Your doc may have you do growth ultrasounds every month in the 3rd trimester to make sure baby is growing well and healthy in there.

According to my WLS clinic's guidelines for pregnant after WLS - weight gain should roughly follow the guidelines for "normal" women.  Always remember that a lot of the weight you gain at the end is directly related to baby's growth and your fluid retention...at least 10 pounds will be gone once you drop the water weight after delivery.

Being 35 automatically puts you in a special age category - but if you are otherwise healthy - your age shouldn't matter too much.  You might have a few extra appointments to do - and you will have options on any genetic screening you want to do (NT scan, sequential screening, Materni 21 test).

Good Luck!!!

I am 32yo, 6 months post op VSG, and about 9weeks along with my 3rd.