Obesity poses significant health risks for women of reproductive age. However, for those planning to get pregnant in the future, non-surgical weight loss procedures, including endoscopic sleeve gastroplasty (ESG), can be a safe and effective option. This article explores how ESG can help women achieve and maintain a healthy weight before and after pregnancy.
DR. CHRISTOPHER MCGOWAN
Dr. Christopher McGowan, MD, a leader in endobariatrics, specializes in non-surgical obesity treatments and is triple-board-certified in Internal Medicine, Gastroenterology, and Obesity Medicine. Renowned for pioneering endoscopic sleeve gastroplasty (ESG) with over 2,000 procedures, his global influence and research contributions define him as a top expert.
The Importance of Weight Loss for a Healthy Pregnancy
Achieving a healthy weight is crucial for women preparing for pregnancy. Women with a BMI over 30 are often advised to lose weight before conception due to the various health risks associated with obesity. Excess fat cells produce more estrogen, disrupting ovulation cycles and increasing infertility rates. Obese women are three times more likely to experience infertility, often due to conditions like polycystic ovarian syndrome (PCOS), which causes insulin resistance, irregular periods, and infertility.
High BMI also heightens the risks of miscarriage and obesity-related conditions such as diabetes and high blood pressure, leading to high-risk pregnancies. Thus, losing weight not only enhances fertility but also reduces potential pregnancy complications.
Benefits of ESG Before Pregnancy
Doctors typically recommend waiting 6 to 18 months after an ESG procedure before trying to conceive. This period allows the body to heal, stabilize weight loss, and normalize the endocrine, vascular, and cardiac systems affected by obesity. These systems also undergo significant changes during pregnancy, so stabilization is essential for a healthy prenatal period.
Women who undergo ESG before pregnancy are less likely to develop gestational diabetes and pregnancy-induced hypertension. They also face fewer obesity-related pregnancy risks such as preeclampsia, premature birth, and stillbirth. Reduced pregnancy complications also correlate with lower C-section rates.
Managing Weight During and After Pregnancy
Weight gain during pregnancy is inevitable and necessary to support the growing fetus. However, managing this weight gain is crucial to avoid exacerbating obesity-related risks. For women who have had ESG, it’s essential to follow a balanced nutrition plan during pregnancy to prevent nutritional deficiencies and support both mother and baby.
Nutrition Guidelines Post-ESG and Pregnancy
After pregnancy, nourishing the body with healthy foods is vital for healing and supporting new motherhood, especially for breastfeeding women. Breastfeeding requires an additional 300 calories per day, which can be managed by adding a small meal or snack rather than increasing the size of regular meals. Proper hydration is also crucial for breastfeeding and postpartum healing. If not breastfeeding, women can safely resume their post-ESG diet shortly after birth.
Exercise Guidelines Post-ESG and Pregnancy
Postpartum exercise should begin with gentle activities like walking, allowing the body to heal before resuming more strenuous routines. A six-week postpartum check-up is a good time to discuss exercise with a doctor. Women who had a C-section may need more time to heal. Once fully healed, focusing on core strengthening exercises can help counteract the abdominal muscle stretching from pregnancy.
Hormonal fluctuations postpartum can lead to fluid retention, making it harder to lose weight immediately. However, once these levels stabilize, women should expect to return to their pre-pregnancy weight, provided they maintain a balanced nutrition and exercise plan.
Research shows that women who undergo ESG before pregnancy achieve similar weight loss outcomes postpartum as their non-pregnant counterparts. Thus, ESG can be an effective tool for managing weight before, during, and after pregnancy.
Is ESG Before Pregnancy Right For You?
True You Weight Loss is one of the leading endobariatric weight loss centers in the United States, ideal for women navigating significant life milestones like pregnancy while aiming to achieve and maintain a healthy weight. Our team of renowned physicians—Dr. Lauren Donnangelo, Dr. Daniel Maselli, and Dr. Christopher McGowan—are triple board-certified in internal medicine, gastroenterology, and obesity medicine. They provide top-tier concierge care, including 24/7 physician access, ensuring continuous support throughout your weight loss journey.
Losing weight can make conception, pregnancy, and postpartum recovery easier for your body and mind. Let us help you achieve your weight loss goals and support you through this important life phase. Contact us today to request a consultation and begin your journey towards a healthier you.
