肥胖為現代社會中導致發病率和死亡率的原因之一，影響範圍包括心血管疾病與代謝症候群。除此之外，肥胖對育齡婦女的影響亦相當值得重視。體重的增加造成育齡期女性生育不易的問題，同時在懷孕過程中，亦會承受較高的併發症風險，像是妊娠糖尿病、妊娠高血壓、巨嬰、較高的剖腹產機率。
對於嚴重的肥胖患者而言，減重手術被視為近來最為有效的肥胖控制治療，同時可以有效解決種種肥胖的併發症。但育齡婦女在接受減重手術後懷孕時機與懷孕後照護上的問題，卻有待討論。本文以一位接受胃縮小手術術後二個月即懷孕之39歲肥胖婦女，經多科整合體重管理團隊的照護而順利生產。探討婦女在減重手術後懷孕的照護，包含避孕、營養照護與併發症風險。期能藉由各面向的回顧使接受減重手術後的育齡婦女獲得適切的照顧。

Obesity is one of the major causes of mortality and co-morbidity afflicting modern society, and includes cardiovascular disease and metabolic syndrome. Moreover, obesity has a significant impact on women of childbearing age. Increased body weight, for example, can result in infertility in women of reproductive age. Further, there is a high risk of complications, including gestational diabetes, hypertension, macrosomia, and a  higher rate of cesarean section in gravidas. Bariatric surgery is the most effective intervention by which to improve body weight and obesity-related complications in severely obese patients. Ante- and post-partum care, such as contraception, nutritional supplements, and the risk of complications in women of childbearing age after bariatric surgery, are still inconclusive and in need of further discussion. We report a 39-year-old obese woman who conceived 2 months after post-sleeve surgery went on to have a successful pregnancy under the comprehensive care of a multi-disciplinary weight control team. The gestational care after bariatric surgery, including contraception, gestational nutrition, and complications, are discussed from multiple viewpoints. We hope to provide adequate care for women of reproductive age who undergo bariatric surgery.