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Pregnancy Outcome in Morbidly Obese Women Before and After Laparoscopic Gastric Banding

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Abstract

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.

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Conflict of interest

The authors declare no conflict of interest.

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Authors and Affiliations

  1. Department of Medical and Surgical Sciences, University of Padova, Via Giustiniani n 2, 35100, Padova, Italy

    Annunziata Lapolla, Mariangela Marangon, Maria Grazia Dalfrà, Domenico Fedele, Giuliano Enzi & Luca Busetto

  2. Department of Surgery, Vicenza Regional Hospital, Vicenza, Italy

    Gianni Segato, Maurizio De Luca & Franco Favretti

Authors
  1. Annunziata Lapolla
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  2. Mariangela Marangon
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  3. Maria Grazia Dalfrà
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  4. Gianni Segato
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  5. Maurizio De Luca
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  6. Domenico Fedele
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  7. Franco Favretti
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  8. Giuliano Enzi
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  9. Luca Busetto
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Correspondence to Annunziata Lapolla.

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Lapolla, A., Marangon, M., Dalfrà, M.G. et al. Pregnancy Outcome in Morbidly Obese Women Before and After Laparoscopic Gastric Banding. OBES SURG 20, 1251–1257 (2010). https://doi.org/10.1007/s11695-010-0199-7

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  • DOI: https://doi.org/10.1007/s11695-010-0199-7

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