Diseases

Pregnancy after gallbladder removal

In the modern world, surgical removal of the gallbladder has long been recognized as the only effective treatment for diseases of the biliary tract. And although this operation, which is known in medical circles as cholecystectomy, is considered one of the simplest and safest. Many women who dream of motherhood are often concerned about the question of whether pregnancy is possible after gallbladder removal?

First of all, it is about the fact that diseases of the biliary tract during gestation can significantly worsen and become a serious threat to a pregnant woman, for whom another bout of colic can end on the operating table.

That is why in the case of diagnosing diseases of the biliary tract gynecologists recommend their treatment even before the onset of conception.

The gallbladder is not considered a vital organ, so its absence does not affect the reproductive function of the female body.

Cholecystectomy and pregnancy

Pregnancy is a wonderful time for a woman when all her thoughts are busy waiting for the baby to be born. From the first days of gestation, you need to take care of the health of the unborn child, but you should not forget about your health either.

The incidence of cholecystitis is growing steadily every year more and more, especially among the fair sex. In most cases, doctors are forced to go for surgery to remove the gallbladder (cholecystectomy). However, is it possible to become pregnant after cholecystectomy, and is pregnancy compatible with biliary tract diseases?

general information

The waiting time of the baby is always associated with an increased risk of unpleasant surprises from the health side. Under the influence of hormonal changes, all body systems are under pressure. This also concerns digestion, which is directly related to the production and outflow of bile.

Women are much more likely than men to suffer from the appearance of stones in the gallbladder.

For some of them, another bout of colic ends on an operating table. Surgical interventions for cholecystectomy today are just as common as with appendicitis. They are carried out with the opening of the abdominal wall (abdominal) or laparoscopic method (using point cuts).

Pregnant women after cholecystectomy are always under the constant supervision of a doctor from the antenatal clinic and a gastroenterologist. To prevent deterioration, it is important to strictly adhere to the recommendations of specialists.

Expectant mothers need to follow the diet, in which the intervals between meals should not be too long. It is advisable to eat at least 5-6 times a day. At the same time, it is better to make portions small, and to steam products, bake or cook. Do not abuse the spicy seasonings, spices, fatty, as well as smoked meats and pickles. Under the absolute prohibition of alcohol.

Doctors recommend pregnant women to take cholagogue and from time to time to do blind sensing (tubage). For this procedure, you need to drink sorbitol diluted in slightly warm water, lemon juice with honey or heated mineral water on an empty stomach. After that, a warm heating pad should be applied to the right side for a few hours.

However, you should not be afraid of pregnancy and everything connected with it, women who live without gall. If there are no obstetric contraindications, then the expectant mother can prepare for natural childbirth.

Features of the course of pregnancy

During pregnancy many women suffer from disorders of the digestive system. The risk of their occurrence is especially high in women who have previously operated on for gallstone disease. Some of them have a condition called specialists of the post-cholitictectomy syndrome. With him, people feel almost the same as before the operation. The most striking manifestations of it are pain in the right hypochondrium, nausea.

The malaise is associated with stagnation of bile in the ducts, its untimely admission to the duodenum. During pregnancy, the high level of progesterone in the blood of the future mother relaxes the smooth muscles of the bile ducts, which causes discomfort. Closer to the birth to the fore there is another reason - the grown fetus puts pressure on the abdominal organs because of what there is no possibility for a normal outflow.

Stagnation of bile (cholestasis), in addition to the above unpleasant symptoms, is manifested by itching of the skin on the palms and soles of the feet, which is aggravated at night. The discomfort accompanying cholestasis causes nervousness and insomnia. The body of the woman and the whites of the eyes become yellowish.

Pregnancy after removal of the gallbladder is often accompanied by toxemia. When it unpleasant sensations are more pronounced and last longer than usual - on average, up to 14 weeks.

But despite the likelihood of such troubles, cholecystectomy is not among the contraindications for pregnancy.

The gallbladder is not a vital organ. His absence does not affect the reproductive system of women.

Surgeons must tell the patients who have undergone surgery how long a pregnancy can be planned. With a minimally invasive procedure - laparoscopy - 2-3 months is enough to recuperate after removal of the gallbladder. If abdominal surgery was performed with an abdominal opening, more time would be needed for rehabilitation - at least six months.

Experts argue that such restrictions apply to the body for several months in order to adapt to the absence of the gallbladder and more or less adjust the digestion process. After all, after the operation, the chemical composition of bile changes, the stomach and intestines re-adjust to work. If during this period a woman becomes pregnant, then the body is under severe stress.

Cholecystectomy during pregnancy

If it was revealed the presence of stones in the gallbladder before pregnancy, experts recommend to operate on in advance. But sometimes it happens that the disease was revealed, already when conception happened. In this case, acute cholecystitis begin to be treated by conservative methods. The removal of gastric contents with the help of a special probe is applied, analgesics and solutions that relieve intoxication are introduced.

When therapy has no effect, jaundice appears, or there is a risk of rupture of the gallbladder, the question arises about the need for surgery. This is not the best case scenario, since intervention during pregnancy is associated with certain risks.

An operation performed in the first trimester threatens to cause a miscarriage. Therefore, when absolutely necessary, it is recommended to carry it out from 13 to 23 weeks of pregnancy. In the later stages, surgeons do not recommend removing the gall. At this time, the uterus takes up a large volume in the abdominal cavity, squeezing the organs there. Therefore, it becomes much more difficult to operate a woman technically.

Anesthetics, as well as medications that are prescribed in the postoperative period, may affect the development and health of the infant in a wrong way. Often, babies born to operated on during the period of gestation of mothers, there is abnormal jaundice. In addition, surgical intervention weakens the woman's body, causing the emergence of various pathologies.

How is the pregnancy without gallbladder

Most women who have undergone cholecystectomy claim that the operation did not affect their well-being during pregnancy. On the contrary, they noticed that, subject to diet and a normal daily regimen, their condition was much better than before the operation.

Surgical procedure does not cause disturbances in the work of other organs and does not affect the synthesis of hormones. However, sometimes a woman who became pregnant, complains of discomfort associated with a remote gall.

Most often in the first weeks the heaviness under the ribs on the right side worries. It can be given in the shoulder blade, left hypochondrium or in the shoulder. From time to time there are other discomfort:

  • stool disorders (diarrhea or constipation)
  • nausea and bitter taste in the mouth,
  • increased gas formation,
  • loud rumbling in the stomach,
  • heartburn.

The severity of these symptoms affects the time that has passed after the operation. It is believed that the hepatobiliary system returns to a completely normal functioning 1.5-2 years after the gallbladder is removed. In the first half of the year, the probability of stagnation of bile in the ducts is very high, which explains the appearance of unpleasant sensations in pregnant women who were operated on shortly before conception.

In addition, the fetus growing in the womb puts pressure on the internal organs: the liver, biliary tract and intestines. Therefore, the closer to childbirth, the more possible the occurrence of pain on the right side at the time of movement of the baby.

Infrequently, but still there are cases when the removal of the gall does not solve the problem of stone formation. Concretions appear in the ducts again. Therefore, in pregnant women, even after cholecystectomy, seizures may occur again.

Gallstone disease is considered the most common female problem after gynecological pathologies. Given this fact, planning a pregnancy must be approached responsibly.

And, if at least once there was an attack of biliary colic or from time to time the stagnation of bile makes itself felt, it is necessary to undergo a thorough examination and consult a gastroenterologist. In the case when a specialist insists on the need for surgery, do not pull for a long time. Attacks during pregnancy can be a serious obstacle to the birth of a healthy baby.

When can I plan a pregnancy?

The timing of pregnancy planning after cholecystectomy is directly dependent on the complexity of the operation. If the treatment of diseases of the biliary tract was carried out by laparoscopy, then the future motherhood can be planned in 1-2 months. If laparotomy was performed (abdominal surgery), pregnancy should be postponed for a year. This time will be enough for a scar to form and normal functioning of the gastrointestinal tract to be restored.

If it happened that the pregnancy occurred immediately after the operation, then the rehabilitation process is much more difficult. There are numerous problems with digestion, which lead to a deterioration in the general condition of the patient, the loss of vitamins and the necessary macro-and micronutrients.

In addition, such a situation can lead to numerous complications, in particular, cause:

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  • preterm labor
  • miscarriage in the early stages,
  • jaundice in the newborn,
  • digestive disorders.

Features of pregnancy after cholecystectomy

In modern medicine, cholecystectomy is recognized as an absolutely safe procedure, and its technique has reached perfection in recent years. According to statistics, in 80-90% of pregnant women, this operation does not cause global disturbances in the body, and the rehabilitation period after its implementation does not last more than a year.

And yet some complications are possible. So, in future mothers who have undergone surgery to remove the gallbladder, during the period of gestation, the risk of such unpleasant sensations increases:

  • severe and prolonged toxicosis,
  • flatulence and bloating,
  • loose stools or constipation
  • indigestion

    There is also the possibility of the development of the so-called postcholecystectomy syndrome. This syndrome occurs as a result of stagnation of bile, which is formed due to excessive pressure of the fetus on the abdominal organs. It usually manifests itself with the following symptoms:

    • pain in the right hypochondrium
    • feeling of heaviness
    • heartburn and bitter taste in the mouth,
    • shooting pains in the side,
    • itching of the skin on the feet and palms, which intensifies at night.

    Typically, these symptoms are characteristic of cholecystitis, but they can appear even during pregnancy without a gallbladder. Yet it is worth noting that in patients who have undergone cholecystectomy, the listed symptoms will be mild and short-lived.

    Almost the only difference is that the observation of pregnant women after the removal of the diseased organ is carried out not only by the gynecologist, but also by the gastroenterologist. Also in the case of laparotomy, a regular ultrasound control of the scar is recommended. It is especially important to do this in the third trimester, when the uterus and the fetus reach a considerable size.

    Additional preventive measures

    In order for pregnancy to be the happiest period in a woman’s life, rather than becoming a grueling and difficult test, after the operation to remove a diseased organ, it is advisable to carry out additional prophylaxis, which will avoid the formation of stones in the remaining bile ducts.

    Additional preventive measures in this case may be:

    • avoiding alcohol and bad habits
    • split meals (at least 5-6 meals per day),
    • diet number 5,
    • easy gymnastics,
    • blind sensing using lemon juice with honey or sorbitol diluted in warm water.

    With the permission of the doctor, prophylaxis with the help of choleretic drugs is also possible. However, special attention to expectant mothers who have undergone cholecystectomy should be given to their diet. Nutrition during pregnancy should be balanced and healthy. In order to avoid problems with digestion, it is recommended to exclude from the diet fatty and spicy foods, spices, pickles, smoked foods and opt for foods rich in proteins and carbohydrates (fish, vegetables and fruits, dairy products). In this case, portions of food should be small, and food is best steamed or baked.

    Childbirth after gallbladder removal

    After laparoscopy and laparotomy, a woman is allowed to natural childbirth in the absence of any pathologies and obstetric contraindications. Indications for cesarean section in this case can only be the failure of the scar, its immaturity and thinning.

    Thus, surgical treatment of the gallbladder does not adversely affect the formation and development of the fetus in the womb. And although after the operation some complications are possible, with the right approach and adequate therapy, every pregnant woman can bear and give birth to a healthy child.

    Is it possible to bear a child after cholecystectomy?

    The absence of one of the organs in the biliary system does not affect the reproductive function of a woman, so pregnancy after the removal of the gallbladder may well occur naturally. There is a nuance when you can begin fertilization after laparoscopy. The pause between conception and surgery is maintained by a doctor, who assesses the condition of the body during the rehabilitation period.

    With an open intervention, a large incision is made, and with laparoscopy - only a few punctures. The stitches should heal and there should be no bleeding inside the abdomen. You should also endure the time to adapt the body to a new mode of operation. If a woman becomes pregnant, these processes are complicated.

    Removal of the gallbladder during pregnancy is allowed in cases of critical conditions (gallstones in pregnancy) and only in the second trimester. If the term of a pregnant woman is longer, then there are ways to translate the acute stage with an emergency indication for the operation into a chronic form, when the intervention is done after the woman has given birth.

    Lifestyle change during pregnancy after gallbladder removal

    • A woman should control food intakes, avoiding long periods of fasting. Only in this mode is it possible to achieve a normal discharge of bile,
    • prefer boiled or stewed dishes in the menu, steam more often,
    • completely exclude from the diet all spices, pickles and salty foods, fatty foods, smoked foods, do not fry in oil,
    • under the strictest prohibition is any alcohol,

    Lifestyle change during pregnancy without gall bladder

    • It is necessary to regularly take cholagogue medications to prevent an attack during pregnancy. The uterus of the woman gradually increases and squeezing of ducts begins in many patients. It is necessary to dilute the bile secretions produced in the liver with medication, so that it flows without congestion even in the presence of narrowed lumens,
    • carrying out the tubage will clear the biliary system, there is even a stone in the bile duct. To do this, warm mineral water is taken, after which you need to lie with a heating pad in the liver area for two hours.

    These recommendations will allow to carry out the child without any problems even with the missing gallbladder.

    Features of the course of multiple pregnancies without the gallbladder

    The presence of several fruits will increase the load on the body of a pregnant woman. Different pathologies that occur in the biliary system often occur in expectant mothers who have twins or triplets. When this occurs, the stretching of the uterus is many times stronger than in normal pregnancy. This is fraught with stagnant bile ducts, infection of the walls of the biliary canals. If the gallbladder is not removed, then it moves up and there is a strong cholestasis.

    The pressure of the uterus on the bile ducts occurs so much that they are clamped and almost can not be reduced. It is associated with the production of progesterone, a hormone that is produced in pregnant women is very active. The substance relaxes the muscles, protecting them from premature onset of labor. Muscle spasms in the ducts often provoke early labor.

    Gynecologists recommend supplementing therapy with a course of magnesium, which can protect the developing fetus and relax all types of smooth muscles.

    Changes in the work of the biliary system during pregnancy

    How much pregnancy can be allowed in such conditions can only be decided by the doctor who performed the removal of the gallbladder. This can be done only under the condition of strict diet and the absence of overeating, which cause enhanced synthesis of bile in the liver. With a successful pregnancy, fetal growth enhances changes in the biliary system.

    One of the most serious complications is toxicosis, which occurs in many patients with a biliary organ removed. When multiple pregnancies, as noted by the patients who gave birth, it can last up to 16 weeks inclusive. The first 3 months must be kept, since women cannot even eat in a weakened state. After this period, doctors are allowed to carry the child at home.

    Nuances of pregnancy after gallbladder removal

    Cholecystectomy is safe, and most patients have no complications. But you need to plan your pregnancy only a year after the operation. How important it is to comply with these terms can be understood if you know the course of rehabilitation after cholecystectomy:

    • often there is a disorder of the digestive system, dyspepsia is actively manifested in the form of frequent diarrhea or constipation,
    • belly is constantly swollen, flatulence is present,
    • often occur in the liver phantom pain of the gallbladder.

    These symptoms are characters for the recovery period, but also refer to the post-cholecystectomy syndrome, which occurs in disorders of the bile outflow. The longer the gestation period, the brighter the symptoms.

    In addition, there is a constant dryness in the mouth, a bitter taste on the tongue, heaviness in the abdomen, itching of the feet or palms, most often at night. Such manifestations occur in acute cholecystitis. In postcholecystectomy syndrome, the woman feels the same sensations as before removing the bladder, and it seems that the disease recurs.

    Prevention of complications

    To prevent complications, it is necessary to maintain the body left without a gallbladder. To do this, you must adhere to the following recommendations:

    • you need to eat at least 6-7 receptions per day, limiting portions to 200 grams,
    • The basis of the diet should be dietary dishes, better on the table number 5,
    • for the prevention of taking cholagogue preparations and decoctions of herbs, agreed with the attending doctor,
    • perform gymnastics in the morning, the complex of which may be prescribed by a gastroenterologist,
    • regularly make tubage for cleaning the biliary system from accumulated bile.

    All recommended items are important and mandatory for implementation, but the most important indicator is food. The balance of nutrients and the absence of violations of the regime can improve the passage of bile, normalize its composition. The menu completely excludes all harmful food, convenience foods, spices and fatty foods. The basis should make a healthy diet with plenty of protein and fiber, you can stick to a vegetarian menu.

    From the point of view of physiology, the process of pregnancy in patients with and without the gallbladder does not practically differ, with the exception of control not only by the gynecologist and the therapist, but also by the gastroenterologist. When laparomatical removal of pregnant women need to undergo an ultrasound, checking the scars. This is especially important in the second trimester, when the formation of the fetus begins to acquire significant size.

    How long should I wait after surgery before pregnancy?

    The gallbladder is removed, but bile continues to be produced in the hepatic system. In this case, the digestive tract can not cope with fatty foods. After a year, this process is getting better, as the systems adapt to new conditions. After successful rehabilitation, the ducts dilate considerably, and bile accumulates in them before it is released into the intestinal tract. This is due to the lack of difference between pregnancy after cholecystectomy and normal. The time of conception may be advised by a doctor on the basis of a thorough examination of the body and the study of associated diseases.

    Risks of premature pregnancy after cholecystectomy

    It is important to know! 78% of people with gallbladder disease suffer from liver problems! Doctors strongly recommend that patients with gallbladder diseases undergo liver cleansing at least once every six months. Read more.

    In the case of laparoscopy, the readiness of the body to bear is restored after 2 months. For laparotomy, this period is extended to one year. As a rule, there is enough time for the scar to be completely formed, and the work of the digestive tract organs will return to normal. For safety, experts advise you to wait about six months until there are no risks of complications:

    • perhaps involuntary self-termination of pregnancy at the very beginning,
    • the development of early and severe toxicosis,
    • the onset of preterm labor,
    • the appearance of jaundice in the baby at birth.

    With a properly completed recovery stage, complications can be avoided. In this case, physiotherapy, performed regularly, can accelerate recovery. Exercises will enhance the flow of bile and prevent the formation of stones.

    How is labor in women after cholecystectomy?

    If the patient had a gallbladder cut out, this is not an indication for a cesarean section. In the absence of complications from the gynecology, the woman gives birth independently by natural means. A cesarean section is prescribed for immaturity or thinning, as well as insolvency of the scar after the operation. If the scarring went well, then there is no risk at birth.

    In general, the removal of the gallbladder does not affect conception, gestation or childbirth. Kids appear strong and healthy, if a woman has passed the term correctly. In some cases, there are complications, but there are all chances to safely carry the child and give birth to it with ease.

    Laparoscopy during pregnancy

    Speaking about the time after which the future mother is recommended to have an operation to remove the organ reservoir after the stones are found in it, it is possible to give an unambiguous answer - immediately.

    Can I get pregnant if there are small tumors in the gallbladder - calculus? The answer is of course yes.

    Genital and digestive system of women are not related. When, during ovulation, the female reproductive cell enters the fallopian tube to meet with the male reproductive cell, the chance of conception is very high.

    However, pregnancy in the development of gallstone disease is undesirable. The future mother will have to control her diet each time.

    But even with a responsible approach to their own nutrition, the risk of complications at the time of gestation is very high.

    The need for laparoscopy occurs in the presence of hepatic colic, which is not always managed to be stopped by the use of anesthetic medicines.

    The chance that pregnancy after removal of the biliary pear-shaped process will pass without complications is high only if the expectant mother follows medical prescriptions.

    Pregnancy after surgery

    So, you have a gallbladder removed. There is no need to fear that your life will never be the same again.

    The capacity of a person without this organ is not much different from the one before surgery.

    However, to avoid the onset of postoperative complications, you need to follow the diet of your diet, follow the rules of the therapeutic diet, abandon power loads and exercise therapy.

    Is it possible to count on a full life after such an operation? The answer is yes.

    The same applies to future mothers. Pregnancy without gallbladder is possible. Interestingly, more than half of the patients who underwent surgery to extract it, the recovery process took no more than 1 month.

    However, doctors do not recommend at least a year to plan motherhood for patients who have undergone laparoscopy.

    It is worth remembering that the removal of one of the internal organs is a great stress for the body. Therefore, he needs time to recuperate.

    Yes, the patient can return to her former life, who has responsibly approached her rehabilitation, after a year, however, bearing a fetus is a big burden for which the body is not yet ready.

    Consequently, pregnancy after removal of the gallbladder will pass without complications only if the child is conceived no earlier than 12 months after laparoscopy.

    That is, getting pregnant after the removal of the pear-shaped process is allowed not earlier than this period.

    Neglect of this rule is fraught with the appearance of such problems:

    • Frequent diarrhea.
    • Insomnia.
    • Phantom pains in the right hypochondrium.
    • Flatulence (bloating).
    • Increased intestinal flatulence, provoking constipation.

    The appearance of pain after surgery is alarming. This symptom may indicate a pathological course of pregnancy, so it should not be ignored.

    Hepatic colic after laparoscopy may be triggered by obstructed outflow of bile or its stagnation in the duct.

    In order to avoid the manifestation of these alarming symptoms, the expectant mother should feed on a fractional basis, eliminate hard-to-digest food from her diet, have a full rest and regularly do exercises.

    Is it possible to carry a child after removing the gall

    Gallstone influence on the reproductive system has not. Therefore, there are no obstacles for the onset of pregnancy. However, it is important to sustain a pause between surgery and conception. Cholecystectomy involves cuts or punctures of the abdominal cavity. Stretching tissue during pregnancy can lead to seam divergence. In addition, the body needs time to adapt to new conditions. Carrying a child will make it harder.

    The period through which physicians recommend the inception of the child depends on the complexity of the surgery, the quality of rehabilitation and the general condition of the woman’s body.

    Pregnancy without the gallbladder requires increased attention from medical professionals. A woman is monitored not only by a gynecologist, but also by a gastroenterologist. It is important to prevent complications or deterioration of the general condition of the pregnant.

    For this, the expectant mother must adhere to some rules:

    1. Watch the diet, avoiding long breaks between meals. The best is 5─6 meals a day in small portions.
    2. Food should be boiled, baked or steamed.
    3. It is important to completely eliminate from the diet fatty, fried, salted, smoked, spicy, pickles and spices.
    4. It is forbidden to drink alcohol.
    5. After cholecystitis or surgery cholecystectomy, a pregnant woman should take choleretic drugs. They prevent seizures during gestation. The expanding uterus presses over the ductic functions of the gallbladder. It is important to dilute hepatic secretion so that it can flow through narrowed lumens.
    6. Periodically it is recommended to carry out a tubage. To do this, warm mineral water or sorbitol solution is drunk on an empty stomach. After you need to lie on the right side, putting a heating pad under it. In this position, it is recommended to stay for several hours.

    By adhering to these simple recommendations, a woman can easily get pregnant and make a healthy baby.

    Multiple pregnancy after cholecystectomy

    With multiple pregnancies, the load on the woman's body increases. Pathologies of the biliary system, for example, cholecystitis often become a kind of payment for the simultaneous carrying of twins, triplets. They stretch the uterus more. Stagnation of bile in the cramped, shifted upward bubble is not preventable. Bottom line ─ infection of hepatic secretion with subsequent inflammation of the biliary walls. But how does the body react to the already lost bladder due to similar problems?

    The uterus presses on the remaining ducts from the bile duct. Those are not only clamped, but also reduced with difficulty. The latter is associated with the active production of the hormone progesterone. It has a relaxing effect on smooth muscles. It is a natural defense mechanism against preterm labor. Muscle spasms can cause them.

    For the biliary system, changes are fraught with:

    1. Long-term stagnation of bile ducts.
    2. Condensed stale secret.
    3. The precipitation of bile precipitates in the form of crystals of calcium salts, cholesterol, pigment bilirubin, followed by gluing the particles into stones.
    4. Inflammation of the bile ducts, as a result of infection of the thickened bile.With stagnation, it becomes a concentration of toxins, an excellent breeding ground for bacteria.

    It is not a question of how much you can become pregnant after removing biliary, and how to endure. Given the risks, indulgence in diet and overeating is unacceptable. This will not only lead to increased production of bile by the liver, stagnation, but also active growth of the fruit. The more children, the more they put pressure on the organs of the digestive tract.

    If a woman has the gallbladder (gallbladder) removed, it is necessary to plan the pregnancy and carry it especially carefully. It is necessary to prepare for toxicosis. For those who have undergone cholecystectomy, it is the norm. With multiple pregnancies, toxicosis is often strong and lasts longer than the standard, up to 16 weeks.

    Because of toxemia, some of the babies that were operated on during the first 3─4 months are forced to go for preservation. Pregnant women become weaker, cannot eat, receive a nourishing “cocktail” through an IV.

    How is the pregnancy after cholecystectomy

    Cholecystectomy is considered a safe operation. In 50% of operated women, the operation does not cause significant changes in the body. But nevertheless, it is recommended to plan pregnancy after gallbladder removal approximately 12 months after surgery. So much time is occupied by the rehabilitation period.

    Bearing a child after removal of the gallbladder need to be ready:

    • frequent digestive disorders and stool disorders (constipation or diarrhea),
    • increased gas formation and bloating,
    • phantom pains in the area of ​​the removed organ.

    The last symptom refers to the postcholecystectomy syndrome. It is associated with a violation of the discharge of bile and its stagnation. This is probably late in pregnancy due to the pressure of the growing fetus on the liver. Biliary anatomically partially enters it. Therefore, when the liver hurts, it seems that the bubble hurts, even though it is already gone.

    In addition to pain on the right under the ribs during postcholecystectomy syndrome during pregnancy, a woman is concerned about:

    • heartburn or taste of bitterness in the mouth,
    • feeling of heaviness in the stomach
    • feeling itchy palms or feet, especially at night.

    In pregnant women, the syndrome often has a short and mild nature.

    To protect themselves from the appearance of discomfort associated with the absence of the gallbladder, women should engage in prevention:

    1. Eat often, but in minimum portions of about 200 grams.
    2. Follow diet food. Recommended "table number 5".
    3. For prophylactic purposes, to take permitted for pregnant women gallstone drugs. With the permission of the doctor, you can use herbal recipes based on herbs.
    4. Do easy gymnastics. A set of exercises will be recommended by a gastroenterologist.
    5. Periodically conduct tubage.

    Particular attention to the future mother should be given to the quality of nutrition. It should be as useful and balanced as possible. It should be completely excluded from the menu fat and fried, spicy, smoked and spicy. The basis of the diet should be dairy products, proteins and carbohydrates (fruits, vegetables). Cooking is necessary by baking, boiling or steaming.

    In general, physicians note that carrying a child of a healthy woman and one with a gall bladder removed, from a physiological point of view, are no different. The difference lies only in increased control over the course of pregnancy, not only by the gynecologist, but also by the gastroenterologist.

    If the organ was removed by laparotomy, the woman needs to undergo an ultrasound scan to check the condition of the scar. This is especially true in the second half of pregnancy, when the fetus is already quite grown up and begins to put pressure on the surrounding tissue.

    How long after the operation can you become pregnant

    Removing the gallbladder does not mean that the body can no longer cope with fatty foods. After some time (from 1 month to 1 year), this process is almost completely restored.

    After rehabilitation, the bile ducts expand as much as possible and begin to accumulate in themselves a secret produced by the liver, like a bladder. The concentration of bile is now in the channels prevents its continuous flow into the intestine. The digestive process is getting better. Therefore, pregnancy after cholecystectomy is practically no different from normal. But in order to avoid complications, it is important to undergo a full course of rehabilitation after the operation.

    When exactly you can get pregnant after removing the gallbladder, the doctor will tell. It is necessary to conduct a comprehensive survey, the definition of the general condition and the presence of comorbidities.

    If the organ was removed by laparoscopy, the body is often ready for conception within a few months. After laparotomy, the term is extended to one year. As a rule, this period is sufficient for scar formation and restoration of the gastrointestinal tract functioning. However, doctors advise to wait another 6 months. This will minimize the risks.

    In addition, go:

    • the risk of spontaneous abortion in the early stages,
    • the occurrence of early toxicosis,
    • risk of preterm birth
    • the occurrence of jaundice in the newborn.

    If you withstand the necessary period of rehabilitation, such violations are practically not encountered. To speed up the recovery time, it is recommended to regularly engage in therapeutic exercises. Performing physical exercises helps to improve the flow of bile and prevent the formation of stones.

    As women without biliary pass childbirth

    A woman’s lack of gallbladder is not an indication for cesarean section. If there are no gynecological and other pathologies that interfere with natural childbirth, give birth independently.

    Caesarean section becomes mandatory when it has been identified:

    • thinning
    • immaturity,
    • failure of postoperative scar.

    If the condition of the scar left after removal of the gallbladder is satisfactory, there is no risk of complications during labor.

    Pregnancy without gallbladder

    Pregnancy is a rather complicated process, affecting all the systems of a woman’s body, including the digestive one. Any operation is a risk for the body that brings a person a deterioration in health. In order to answer the question of whether it is possible to carry out the child normally after cholecystectomy, it is necessary to figure out whether cholecystectomy affects the delivery of the fetus, what difficulties the future mother will have to face in this period.

    According to the latest data, gestation after the gallbladder operation is not contraindicated, but it should be planned and run under the strict supervision of a gastroenterologist. It is also noted that the risk of a positive outcome of carrying a healthy fetus after surgery is much higher than infant-wearing if there is cholelithiasis or cholecystitis in the body.

    It is important to understand pregnancy without the gallbladder and its course largely depend on how much time has passed after the surgical intervention, on the method of the operation performed: open or laparoscopic, which largely determine the ease of flow, the outcome of child-wearing.

    Conception after having removed the gallbladder is recommended no less than six months. After surgery to remove the gallbladder during this period, the woman's body gains sufficient strength, adapts to work without an organ. The basic rule of normal gestation in the event of pregnancy is strict adherence to the doctor’s intentions throughout the gestation period.

    Changes in the woman's body after removal

    Cholecystectomy is accompanied by a violation of the patient's digestive function - a failure occurs during the digestion and absorption of nutrients. The process, when the gallbladder has been removed, is accompanied by a long recovery period, during which the patient must observe all the rules of diet therapy and taking special preparations.

    The operation on the biliary tract does not entail global changes in the body and the hormonal background of the woman, since this organ is not vital. However, pregnancy is a serious burden for a girl, during which she may be hindered by difficulties - toxicosis, problems with the digestive system during gestation. A future mother may experience cravings for prohibited foods, which causes hormonal changes in the body during the childbearing - this will also affect the mental state of the woman.

    Some patients after surgery begin to experience postcholecystectomy syndrome, which causes the appearance of pain in the liver, feeling that the disease has returned. These symptoms are usually associated with the stagnation of bile in the body of a pregnant woman, occurring due to the pressure of the uterus on the biliary tract. They are short-lived, pass quickly.

    In order to avoid consequences during pregnancy, it is necessary to follow the dietary table, control over the site of incision or scar during infant-wearing.

    Planning for pregnancy after removal

    After the procedure, the doctor should explain to the patient how soon the most successful gestation of the fetus is possible. In addition, it is important to tell the girl what difficulties she may encounter during pregnancy and give instructions on how to solve these problems correctly.

    The timing of pregnancy planning after cholecystectomy depends on how the patient underwent surgery, what type of procedure the organ was cut off. So, after laparoscopy, an interesting situation can be planned within a few months after the procedure, and in case of an open laparotomy, the woman should be delayed in conception until the body adapts to the changes - it takes about a year.

    During the entire recovery period and in later life, the patient needs to take many drugs. However, these drugs may adversely affect the child-bearing, and therefore in this case they must be canceled or replaced with similar ones that do not cause harm to the fetus. Many drugs must be removed from use a few weeks or even months before the planned conception of a child.

    An interesting situation that occurred a short time after surgery may lead to quite serious consequences, such as miscarriage in the first trimester, impaired scar healing, rupture of the scar, in the case of an open operation. Early pregnancy is fraught with a high risk of developing preterm birth and premature fetus.

    It is important for each girl to consult a specialist when they can become pregnant, how to reduce the risk of complications in each case, to undergo a full examination by doctors of all specialties, before attempting to conceive a fetus.

    Pregnancy after cholecystectomy

    Many patients claim that the removal of this organ did not affect the gestation of the fetus. In some cases, especially when conceiving shortly after surgery, the girls were harassed by some of the difficulties associated with their sensations and state of health.

    In the situation, especially when some time passed after the removal of the organ, the future moms often are disturbed by such side effects as:

    1. Nausea, vomiting.
    2. Toxicosis pregnant.
    3. Frequently, a bowel disorder occurs - diarrhea or constipation.
    4. Heartburn, stomach rumbling, flatulence.
    5. Pain in the side on the right.

    These symptoms largely depend on when cholecystectomy was performed and how the patient survived the recovery period. In addition, of no small importance is whether the expectant mother has followed the diet and recommendations of a specialist.

    Otherwise pregnancy after surgical procedures is no different from carrying a fetus in the absence of these pathologies. The only difference is that an interesting situation after cholecystectomy is not only led by a gynecologist, but also by a gastroenterologist, who will monitor the condition of the future mother's digestive system, the scar during the entire gestation period.

    Pregnancy after laparoscopic removal

    Extraction of the gallbladder by laparoscopy has increasingly become part of modern medicine. This procedure has a number of advantages consisting in a faster, sparing surgical intervention and a faster rehabilitation period. The essence of the procedure of laparoscopic organ removal in women is that with a special device, a puncture is performed in certain points of the abdomen, through which the organ is removed.

    Pregnancy after laparoscopic surgery of the abdominal cavity is possible within 1.5-2 months after the procedure. This is due to the fact that the process of tissue regeneration proceeds much faster than with an open operation.

    It should be understood that the process of adapting the body to new conditions of existence and digestion can last several months after the healing of tissues, therefore, even in the case of laparoscopy, doctors recommend to wait a little with conceiving a baby for at least six months.

    The course of pregnancy after laparoscopy is not much different from the interesting position of a healthy patient. The only rule in this case is the restriction of the diet, moderate exercise. DThe nutrition must meet the required amount of nutrients and is gentle to a woman. - Consumption of large quantities of fruits, foods containing carbohydrates, proteins and vegetable fats is recommended.

    Pregnancy after open removal

    Open gallbladder removal (laparotomy) - dissection of the abdominal cavity using a scalpel, which violates the integrity of all layers of the skin.

    Laparotomic organ removal is characterized by a high energy expenditure of the body of the girl, a long recovery period during which scarring of tissues takes place, cell regeneration occurs. Therefore, before planning to conceive, a woman is recommended to undergo a full stage of recovery procedures, to wait for the full healing of all layers of the abdominal cavity.

    Early pregnancy after open removal is fraught for the expectant mother with a high risk of complications, since the body could not fully adapt to the new working conditions, it can perceive the fetus as a foreign object in the body, which will cause the patient to miscarry in the early stages or worsen the general condition.

    The peculiarity of the flow of infant-wearing after laparotomy is the strict control of the state during the whole pregnancy., especially in the last three months, when the uterus significantly increases in size and can adversely affect the scar, up to its rupture. In addition, open gallbladder removal requires the control of a gastroenterologist at least 1 time every three months of gestation.

    Changes in the body after removal of the gallbladder

    Any operation to remove the gallbladder is accompanied by digestive disorders: absorption and digestion of food. Most patients do not even notice these disorders, so the changes at the system level are not significant.

    During pregnancy, the load on the woman's body increases several dozen times, so women, with a removed gall bladder, may experience some difficulties in carrying a child. These include:

    • Severe dyspeptic disorders: severe nausea, vomiting.Flatulence and bloating, loose, unstable stool or constipation. Some women feel a bitter taste in their mouths.
    • Pains in the epigastrium and the right hypochondrium of an aching character, aggravated after taking fatty or spicy foods. Sometimes the pain is given in the back or lower back.
    • Longer early toxicosis of pregnancy.
    • Difficulties with diet and food restriction.

    Conclusion

    Conception of a child after cholecystectomy is possible and not contraindicated. The onset of pregnancy is planned immediately after the completion of the recovery period and the adaptation of the organism to the changed working conditions of the gastrointestinal tract. If you follow the diet and the principles of healthy eating, the child is born without any peculiarities, and the childbirth itself takes place independently and without complications. It is recommended that such pregnant women undergo regular consultations with a gastroenterologist before and during pregnancy, at least once per trimester.

    Watch the video: Gallbladder Surgery. Q&A (January 2020).