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Considerable MBS are performed on women of reproductive age, with limited data regarding risks and management pre-conception and peripartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Our retrospective audit assessed adult women in pregnancy with prior MBS, attending a specialised, multidisciplinary obesity service between January 2018 and July 2022. Baseline clinical and demographic characteristics, including surgical data, anthropometry, nutritional status, and pregnancy outcomes were collected for each pregnancy and evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Across 189 women and 210 pregnancies, pre-pregnancy obesity (BMI\u2009\u2265\u200930) prevalence was 55.9%, with polycystic ovarian syndrome and type 2 diabetes and depression and anxiety the most common associated medical and mental health problems, respectively. One-sixth of pregnancies were conceived within 12\u00a0months of MBS. Of those with available data (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009174), only 43.1% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200975) had preconception dietitian reviews. Second trimester iron deficiency was noted in 64.1% (107\/167) (parenteral supplementation required in 23.8% (50\/210)) and vitamin B12 deficiency in 46.2% (61\/132) (parenteral supplementation administered in 32.9% (69\/210)). Maternal and neonatal complications occurred in 43.8% and 45.7% of pregnancies. Special care nursery (SCN) or neonatal intensive care unit (NICU) admissions were higher than background population rates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Women in pregnancy following MBS have complex medical and mental health backgrounds, limited pre-conception counselling and significant nutritional deficiencies, with higher rates of SCN\/NICU admissions. Our study highlights the role of specialised pre-conception and perinatal services for these women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11695-025-08315-4","type":"journal-article","created":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T16:04:58Z","timestamp":1760457898000},"page":"5013-5022","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating the Care Needs and Clinical and Nutritional Outcomes in Pregnant Women After Metabolic and Bariatric Surgery\u2014A Tertiary Centre Experience"],"prefix":"10.1007","volume":"35","author":[{"given":"Brian","family":"Tran","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi Wei","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minoli Vinoda","family":"Abeysekera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gillian","family":"Rosic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chong","family":"Liang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nardeen","family":"Habashy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paik Yee","family":"Liew","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Devadas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Supreet","family":"Saluja","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natassia","family":"Rodrigo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn Helen","family":"Williams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,10,14]]},"reference":[{"key":"8315_CR1","unstructured":"Australian Institute of Health and Welfare. 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