Background: A large percentage of women submitted to bariatric surgery for morbid obesity undergoes surgery during childbearing years. Pregnancy in severely obese women is usually associated with increased maternal and infant risks. Methods: We here report the pregnancy outcomes of 29 morbidly obese women after laparoscopic adjustable gastric banding (LAGB). The data were obtained from our prospective data base and implemented by a questionnaire oriented to assess maternal, pregnancy and infant outcomes. Results: Twenty-nine women from a cohort of 1359 consecutive female patients operated between January 1994 through June 2005, reported pregnancy after LAGB. The mean age was 38.9 3.1 y and the mean BMI at the time of LAGB was 46.2 7.9. Maternal outcomes: the mean weight gain during pregnancy was 4.89 4.43 kg. Three patients showed no weight modification before and during pregnancy. Gestational diabetes was reported in 10%, hypertension (without evidence of pre-pregnancy hyperten- sion) in 17% and pre-eclampsia/eclampsia in 15% of cases. Five (17%) patients required band deflation during pregnancy. Pregnancy outcomes: one spontaneous abortion was recorded (13th gestational week). This lady had a later successful preg- nancy. Twenty-six percent had pharmacologically assisted deliv- ery while caesarean section was carried out in 42% of cases. Infant outcomes: Thirty babies were delivered (1 twin delivery), no stillbirth was recorded. The mean birth weight was 3243 617 g and 5 (17%) were preterm birth. Conclusion: Weight reduction after LAGB is safe and effective enough to allow good pregnancy outcomes comparable to those of general population.
Foletto, M., Bernante, P., Busetto, L., Favretti, F., Segato, G., Prevedello, L., et al. (2006). Pregnancy outcomes after laparoscopic gastric banding for morbid obesity. OBESITY SURGERY, 2, 325-325.
Pregnancy outcomes after laparoscopic gastric banding for morbid obesity
Bernante, P.;
2006
Abstract
Background: A large percentage of women submitted to bariatric surgery for morbid obesity undergoes surgery during childbearing years. Pregnancy in severely obese women is usually associated with increased maternal and infant risks. Methods: We here report the pregnancy outcomes of 29 morbidly obese women after laparoscopic adjustable gastric banding (LAGB). The data were obtained from our prospective data base and implemented by a questionnaire oriented to assess maternal, pregnancy and infant outcomes. Results: Twenty-nine women from a cohort of 1359 consecutive female patients operated between January 1994 through June 2005, reported pregnancy after LAGB. The mean age was 38.9 3.1 y and the mean BMI at the time of LAGB was 46.2 7.9. Maternal outcomes: the mean weight gain during pregnancy was 4.89 4.43 kg. Three patients showed no weight modification before and during pregnancy. Gestational diabetes was reported in 10%, hypertension (without evidence of pre-pregnancy hyperten- sion) in 17% and pre-eclampsia/eclampsia in 15% of cases. Five (17%) patients required band deflation during pregnancy. Pregnancy outcomes: one spontaneous abortion was recorded (13th gestational week). This lady had a later successful preg- nancy. Twenty-six percent had pharmacologically assisted deliv- ery while caesarean section was carried out in 42% of cases. Infant outcomes: Thirty babies were delivered (1 twin delivery), no stillbirth was recorded. The mean birth weight was 3243 617 g and 5 (17%) were preterm birth. Conclusion: Weight reduction after LAGB is safe and effective enough to allow good pregnancy outcomes comparable to those of general population.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
