Breastfeeding in metabolic and bariatric patients: a comprehensive guide for surgeons, patients, and the multidisciplinary team

IF 3.5 3区医学 Q1 SURGERY

Surgery for Obesity and Related Diseases Pub Date : 2024-12-05 DOI:10.1016/j.soard.2024.11.017

Priya Suri M.D. , Alyssa Bellini M.D. , Miaoli Emilie Bloemhard B.A. , Justin Yoon Choi M.D. , Adrienne Hoyt-Austin D.O., M.A.S., I.B.C.L.C. , Randi Janene McCreary R.D., C.N.S.C. , Colleen Kennedy M.D., MBA, F.A.S.M.B.S., D.A.B.-F.P.M.B.S. , Benjamin Clapp M.D., F.A.C.S., F.A.S.M.B.S., D.A.B.-F.P.M.B.S. , Farah Husain M.D., F.A.C.S., F.A.S.M.B.S., D.A.B.-F.P.M.B.S. , Pearl Ma M.D., F.A.C.S., F.A.S.M.B.S., D.A.B.-F.P.M.B.S. , Lisa Renee Hilton-Rowe M.D., F.A.C.S., F.A.S.M.B.S., D.A.B.-F.P.M.B.S. , Victoria Lyo M.D., M.T.M., F.A.C.S.

{"title":"Breastfeeding in metabolic and bariatric patients: a comprehensive guide for surgeons, patients, and the multidisciplinary team","authors":"Priya Suri M.D. , Alyssa Bellini M.D. , Miaoli Emilie Bloemhard B.A. , Justin Yoon Choi M.D. , Adrienne Hoyt-Austin D.O., M.A.S., I.B.C.L.C. , Randi Janene McCreary R.D., C.N.S.C. , Colleen Kennedy M.D., MBA, F.A.S.M.B.S., D.A.B.-F.P.M.B.S. , Benjamin Clapp M.D., F.A.C.S., F.A.S.M.B.S., D.A.B.-F.P.M.B.S. , Farah Husain M.D., F.A.C.S., F.A.S.M.B.S., D.A.B.-F.P.M.B.S. , Pearl Ma M.D., F.A.C.S., F.A.S.M.B.S., D.A.B.-F.P.M.B.S. , Lisa Renee Hilton-Rowe M.D., F.A.C.S., F.A.S.M.B.S., D.A.B.-F.P.M.B.S. , Victoria Lyo M.D., M.T.M., F.A.C.S.","doi":"10.1016/j.soard.2024.11.017","DOIUrl":null,"url":null,"abstract":"<div><div>Since nearly 40% of metabolic and bariatric surgery (MBS) patients are individuals with the ability to bear children, many may seek to become pregnant or may be currently lactating when seeking surgery. While many patients plan to breastfeed, MBS patients are at high risk for premature cessation of breastfeeding. Limited literature exists on the impact of MBS on lactation and there are no established guidelines to help clinicians support and educate MBS patients about breastfeeding. Herein, we aim to fill that gap by providing a comprehensive guide for bariatric surgeons, obstetricians, women’s health providers, lactation consultants, registered dietitians, bariatric nurse coordinators, and advanced practice providers to support breastfeeding in patients with a history of MBS or who are considering MBS. We review physician-patient discussion points on how MBS impacts lactation, the micronutrient and caloric needs for this unique population, and data to support successful breastfeeding in post-MBS patients who are lactating regarding practical, anesthetic, and imaging considerations.</div></div>","PeriodicalId":49462,"journal":{"name":"Surgery for Obesity and Related Diseases","volume":"21 5","pages":"Pages 595-605"},"PeriodicalIF":3.5000,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgery for Obesity and Related Diseases","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1550728924009493","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

Abstract

Since nearly 40% of metabolic and bariatric surgery (MBS) patients are individuals with the ability to bear children, many may seek to become pregnant or may be currently lactating when seeking surgery. While many patients plan to breastfeed, MBS patients are at high risk for premature cessation of breastfeeding. Limited literature exists on the impact of MBS on lactation and there are no established guidelines to help clinicians support and educate MBS patients about breastfeeding. Herein, we aim to fill that gap by providing a comprehensive guide for bariatric surgeons, obstetricians, women’s health providers, lactation consultants, registered dietitians, bariatric nurse coordinators, and advanced practice providers to support breastfeeding in patients with a history of MBS or who are considering MBS. We review physician-patient discussion points on how MBS impacts lactation, the micronutrient and caloric needs for this unique population, and data to support successful breastfeeding in post-MBS patients who are lactating regarding practical, anesthetic, and imaging considerations.

查看原文本刊更多论文

代谢性和肥胖患者的母乳喂养：外科医生、患者和多学科团队的综合指南。

由于近40%的代谢和减肥手术（MBS）患者是有生育能力的个体，许多人在寻求手术时可能会寻求怀孕或正在哺乳。虽然许多患者计划母乳喂养，但MBS患者过早停止母乳喂养的风险很高。关于MBS对泌乳影响的文献有限，也没有既定的指导方针来帮助临床医生支持和教育MBS患者母乳喂养。在此，我们的目标是通过为减肥外科医生、产科医生、妇女健康提供者、哺乳顾问、注册营养师、减肥护士协调员和高级实践提供者提供全面指南来填补这一空白，以支持有MBS病史或正在考虑MBS的患者进行母乳喂养。我们回顾了医患间关于MBS如何影响泌乳、这一独特人群的微量营养素和热量需求的讨论要点，以及支持MBS后泌乳患者在实践、麻醉和影像学方面成功母乳喂养的数据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Surgery for Obesity and Related Diseases 医学-外科

CiteScore

6.70

自引率

12.90%

发文量

570

审稿时长

56 days

期刊介绍： Surgery for Obesity and Related Diseases (SOARD), The Official Journal of the American Society for Metabolic and Bariatric Surgery (ASMBS) and the Brazilian Society for Bariatric Surgery, is an international journal devoted to the publication of peer-reviewed manuscripts of the highest quality with objective data regarding techniques for the treatment of severe obesity. Articles document the effects of surgically induced weight loss on obesity physiological, psychiatric and social co-morbidities.