[DoomaYula]

Almost two years ago I had a Biliopancreatic Diversion with a Duodenal Switch -- a type of weight-loss surgery that has the highest long-term weight loss due to malabsorption. Basically I had my intestines re-routed so that I don't absorb much of what I eat. I take a ton of supplements and have been a little concerned about keeping up with my nutrition throughout this pregnancy.<br><br>
Meanwhile, my surgeon just sent me two pubmed articles about pregnancy after a BPD DS. One had this conclusion<br><br><div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">CONCLUSION: Major weight loss following BPD improves the reproductive function of severely obese women. BPD provides major beneficial effects for both mother and child, including normalization of gestational weight changes, reduction of fetal macrosomia, and normalization of the infant's birth-weight. Our results speak in favor of delaying pregnancy in obese women until after the substantial surgical weight loss has occurred.</td>
</tr></table></div>
Obvs I've never had a problem getting pregnant before, but I'm glad to know that this pregnancy should be even more healthy than my others!<br><br>
Another study had this conclusion<br><br><div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">Conclusions: This unique study of children aged 2.5–26 yr born before and after maternal antiobesity surgery demonstrated improvements in cardiometabolic markers sustained into adolescence, attributable to an improved intrauterine environment.</td>
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I'm getting my labs done on Monday -- I have to get a lot of blood drawn, very frequently, to make sure my nutrition is up to par.<br><br>
But I'm really happy to know that I should be able to have a healthy happy pregnancy!

 

[lawmama1984]

<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/joy.gif" style="border:0px solid;" title="joy"> That's great news! I, too, lost a lot of weight (about 50 lbs) in preparation for my 2nd pregnancy in hopes of an HBAC and a generally more healthy pregnancy. Here's to us! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">

 

[ema-adama]

That is fantastic news for you <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/joy.gif" style="border:0px solid;" title="joy">

 

[peaceful_mama]

Yay! great news <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin">

 

[littlebearsmama]

Good for you! I'm just wondering if it will be difficult to eat enough protein, especially towards the end of pregnancy, to stay healthy and keep away certain pregnancy complications due to protein deficiency. Maybe you have a good protein powder or something? I don't know if you plan to breastfeed, but will this affect your milk supply as well?

 

[FarmerCathy]

That's excellent! So excited for you!<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/joy.gif" style="border:0px solid;" title="joy">

 

[DoomaYula]

<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>littlebearsmama</strong> <a href="/community/forum/post/15436858"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Good for you! I'm just wondering if it will be difficult to eat enough protein, especially towards the end of pregnancy, to stay healthy and keep away certain pregnancy complications due to protein deficiency. Maybe you have a good protein powder or something? I don't know if you plan to breastfeed, but will this affect your milk supply as well?</div>
</td>
</tr></table></div>
I drink protein shakes, and I eat a lot of protein in general.<br><br>
I've talked to several friends who are IBCLC and they seem to think I'll be fine. I've breastfed before, so I feel good about that. I'm also a BFAR mom, so I know I can take domperidone if I need to.