Anticonceptie en zwangerschap na metabole chirurgie
- frederieknuytens
- 10 feb 2025
- 1 minuten om te lezen
Na de ingreep wordt orale anticonceptie minder goed opgenomen, waardoor de betrouwbaarheid niet meer gegarandeerd is en u dus zwanger kan worden onder de pil.
We adviseren om de eerste 18 maanden na de ingreep niet zwanger te worden, omdat in die periode het meeste gewichtsverlies plaatsvindt en je lichaam zich in een ‘katabole’ toestand bevindt waarin het zichzelf afbreekt. Geen ideale periode dus om zwanger te worden, want dit kan leiden tot een groeivertraging van de foetus en bijhorende complicaties.
Daarom is het zeer belangrijk om alternatieve bescherming te voorzien, met andere contraceptiemethoden. Zo kan een spiraaltje, staafje in de arm, pleister of vaginale ring een goed alternatief zijn. Praat hier zeker over met uw gynaecoloog of huisarts.
Na die 18 maanden is het wel veilig om zwanger te worden, maar door de verminderde voedselinname en –opname is er een grotere kans op voedingstekorten. Het is dus wel belangrijk de vitaminestatus goed op te volgen en aangepaste supplementen te gebruiken. Het voordeel van het gewichtsverlies na de ingreep is tevens ook dat er minder kans is op zwangerschapsvergiftiging, zwangerschapsdiabetes en een te hoog geboortegewicht.
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