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Re: OB: Pregnancy after gastric bypassFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Fri Aug 13 22:59:52 2004
At Fri, 13 Aug 2004, Garry E. Siegel, M.D. wrote: > >35 YO P0 at 9 weeks, s/p lapscope Roux-en-Y about a year ago. She is >doing well, weighs around 200 pounds, 5 feet 6 inches. > >She is on several vitamins and a normal multivitamin BID, as she was >told she needed to take 2 daily due to absorption issues. > >I prescribed a normal prenatal, but wonder if she should take extra >folate above the 1 mg. in the Prenatal. > >Also, does anyone have any thoughs or experience. The local MFM had no >thoughts to add. > >As is turns out, there is a brief report of a maternal death after >bypass due to an infarcted intestine in the 12 August NEJM. I did a >Medline and found an article abstract on Pregnancy after Bypass. It >said wait until after kids, and I've requested the whole article for >review. > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > The anatomy will change as the pregnancy progresses, hopefully she will not require a c-section because obviously there is a small chance of bowel being stuck to the anterioir uterine surface. I would let her have as much folate as she can handle gastric bypass is basically iotrogenic malnutrition/malabsorption.
--
Take care, John
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