NUTR-2040 Lecture Notes - Lecture 2: Bariatric Surgery, Gestational Hypertension, Pre-Eclampsia
Document Summary
Obesity and pregnancy: several unfavorable metabolic changes. Increased blood glucose levels, blood concentration of insulin, insulin resistance, blood pressure, high c-reactive protein levels, etc: bariatric surgery. Use of bariatric surgery for weight loss has increased. Weight rapidly lost after the surgery due to limited food intake, fat malabsorption, decreased appetite, and dumping syndrome. Thiamine, vitamins d, b12, folate, iron, and calcium: post-bariatric surgery. Nutrition care for pregnant women post-bariatric surgery includes: Nutrient deficiencies vary depending on type of bariatric surgery performed. Contribute to stillbirths, fetal and newborn deaths, and other adverse conditions: consequences. Chronic inflammation, oxidative stress, and damage to endothelium of blood vessels. Impaired blood flow, increased tendency to clot, and plaque formation: more common. In those who are non-hispanic black americans, obese, over 35 years of age, or who have had prior pregnancy high blood pressure. Increased risk for developing preeclampsia later in pregnancy or during the first week postpartum, and chronic hypertension later in life.
