Document Detail


Pregnancy outcome in morbidly obese women before and after laparoscopic gastric banding.
MedLine Citation:
PMID:  20524157     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Increasing numbers of pregnancies are seen in obese women treated surgically with laparoscopic adjustable gastric banding (LAGB). We compared their maternal and fetal outcomes with obese women without LAGB and normal-weight controls.
METHODS: Sixty-nine obese women with LAGB (83 pregnancies) were compared with 120 obese women without LAGB and 858 controls.
RESULTS: By comparison with normal controls, post-LAGB pregnancies had higher rates of gestational hypertension (9.6% vs 2.4%, p < 0.05), preeclampsia/eclampsia (12.0% vs 2.3%, p < 0.001), abortion (10.8% vs 0.3%, p < 0.001), cesarean section (45.9% vs 28.2%, p < 0.01), preterm delivery (17.6% vs 3.6%, p < 0.001), and babies needing neonatal intensive care (20.3% vs 9.0%, p < 0.01). Compared with the no-LAGB obese group, the post-LAGB pregnancies had lower rates of gestational hypertension (9.6% vs 23.5%, p < 0.05), preeclampsia/eclampsia (12.0% vs 20.8%, p < 0.05), and cesarean section (45.9% vs 65.8%, p < 0.01). The post-LAGB obese women gained less weight during the pregnancy (6.6 +/- 7.9 vs 14.8 +/- 10.1 kg, p < 0.001) and experienced less gestational hypertension (14.8% vs 33%), preeclampsia/eclampsia (7.4% vs 14.8%), and macrosomia (4.2% vs 16%) than in pregnancies before LAGB. No significant differences in maternal and fetal outcomes emerged between post-LAGB pregnant women who lost versus those who gained weight during pregnancy. Compared with those no longer morbidly obese, women still morbidly obese after LAGB had a lower weight gain (2.8 +/- 11.8 vs 8.6 +/- 9.5 kg, p < 0.05) and a higher gestational hypertension rate (29.4% vs 8.9%, p < 0.05).
CONCLUSION: The risks of negative maternal and fetal outcomes for obese women can be reduced by LAGB if the women are closely followed up.
Authors:
Annunziata Lapolla; Mariangela Marangon; Maria Grazia Dalfrà; Gianni Segato; Maurizio De Luca; Domenico Fedele; Franco Favretti; Giuliano Enzi; Luca Busetto
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Obesity surgery     Volume:  20     ISSN:  1708-0428     ISO Abbreviation:  Obes Surg     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-30     Completed Date:  2011-01-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1251-7     Citation Subset:  IM    
Affiliation:
Department of Medical and Surgical Sciences, University of Padova, Via Giustiniani n 2, 35100, Padova, Italy. annunziata.lapolla@unipd.it
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Body Mass Index
Female
Gastroplasty*
Humans
Laparoscopy*
Obesity, Morbid / surgery*
Pregnancy
Pregnancy Complications / surgery*
Pregnancy Outcome*
Weight Gain
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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