Re: pregnant pt. -3 months post Roux En Y?

[Guest guest]

Hunter: I spoke to Dr. Jacques with Bariatric Advantage. This was her recommendation: If the patient’s nutritional status is good (labs WNL, tolerating foods, no vomiting, no anemia); continue with current vitamin regimen and make sure to increase iron to the recommended amount during pregnancy to 27-29 mg/day. If the patient’s nutritional status is not good, a prenatal vitamin may be necessary along with the patient’s current vitamin and mineral regimen. Continue to monitor labs. I have recommended 1800 - 2000 kcal in 6 meals per day. Somewhat like a gestational diabetes meal plan. Hope this helps.Hunter Copeland <hunter_copeland@...> wrote: Guys- Anybody with some quick info. I have had patients become pregnant after surgey, but not this soon. What is everyone recommending as far as vitamins? Is it safe to recommend something like the Bariatric Advantage in addition to the prenatal, or would that be too much A? I guess it may depend on the form of the A. Also, what are you goals as far as daily kcal intake and weight gain? I would think it would be extremely

difficult to gain much at this point. Any help is appreciated! Thanks. Hunter Copeland RD, LD Messenger with Voice. PC-to-Phone calls for ridiculously low rates.

Messenger with Voice. PC-to-Phone calls for ridiculously low rates.

[Guest guest]

Jeanne Blankenship wrote an article re: pregnancy & bariatric surgery

for the ADA WM DPG group and presented this at the 2005 FNCE

conference. She is excellent & is active in this area. I will see if

I/she can forward some of the info.

I would also like to see what you have come up with. Would you be

interested in sharing it in the Files section of this website?

Parrott, MS, RD, LD