The number of women of reproductive age undergoing bariatric surgery, including laparoscopic adjustable gastric banding (LAGB), has increased in recent years. The objective of this study was to list both maternal and neonatal outcomes in pregnancies in obese women (BMI ≥ 30 kg/m2) after LAGB and compare them with pregnancies in obese or normal weight women without LAGB. Studies showed a lower incidence of gestational diabetes, pregnancy-induced hypertension (PIH), pre-eclampsia, caesarean section (CS), macrosomia, and low birth weight babies in post-LAGB pregnancies compared to pregnancies in obese women without LAGB. Gestational weight gain was also lower in post-LAGB pregnancies. However, the incidence of PIH, pre-eclampsia, CS, preterm birth, large for gestational age, spontaneous abortion, and NICU admission was higher in post-LAGB pregnancies than in normal weight pregnancies. In conclusion, LAGB seems to improve pregnancy outcomes in obese women, even when obesity is still present at the onset of pregnancy. However, further research is needed and pregnant women with a gastric band should always be closely monitored by a multidisciplinary team.
Pregnancy Pregnancy outcome Obesity Bariatric surgery Laparoscopic adjustable gastric banding
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Potential Conflict of Interest Statement
RD is a recipient of a postdoctoral research grant from the FWO Flanders (2010–2015). All other authors have no conflict of interest.
Ducarme G, Revaux A, Rodrigues A, et al. Obstetric outcome following laparoscopic adjustable gastric banding. Int J Gynaecol Obstet. 2007;98(3):244–7.PubMedCrossRefGoogle Scholar
Flegal KM, Graubard BI, Williamson DF, et al. Excess deaths associated with underweight, overweight, and obesity. JAMA. 2005;293(15):1861–7.PubMedCrossRefGoogle Scholar
Dixon JB, Dixon ME, O’Brien PE. Birth outcomes in obese women after laparoscopic adjustable gastric banding. Obstet Gynecol. 2005;106(5 Pt 1):965–72.PubMedCrossRefGoogle Scholar
Lapolla A, Marangon M, Dalfra MG, et al. Pregnancy outcome in morbidly obese women before and after laparoscopic gastric banding. Obes Surg. 2010;20(9):1251–7.PubMedCrossRefGoogle Scholar
Bar-Zohar D, Azem F, Klausner J, et al. Pregnancy after laparoscopic adjustable gastric banding: perinatal outcome is favorable also for women with relatively high gestational weight gain. Surg Endosc. 2006;20(10):1580–3.PubMedCrossRefGoogle Scholar
Isaacs JD, Magann EF, Martin RW, et al. Obstetric challenges of massive obesity complicating pregnancy. J Perinatol. 1994;14(1):10–4.PubMedGoogle Scholar
Sebire NJ, Jolly M, Harris JP, et al. Maternal obesity and pregnancy outcome: a study of 287,213 pregnancies in London. Int J Obes Relat Metab Disord. 2001;25(8):1175–82.PubMedCrossRefGoogle Scholar
Hauger MS, Gibbons L, Vik T, et al. Prepregnancy weight status and the risk of adverse pregnancy outcome. Acta Obstet Gynecol Scand. 2008;87(9):953–9.PubMedCrossRefGoogle Scholar
Cnattingius S, Bergstrom R, Lipworth L, et al. Prepregnancy weight and the risk of adverse pregnancy outcomes. N Engl J Med. 1998;338(3):147–52.PubMedCrossRefGoogle Scholar
Maggard MA, Yermilov I, Li Z, et al. Pregnancy and fertility following bariatric surgery: a systematic review. JAMA. 2008;300(19):2286–96.PubMedCrossRefGoogle Scholar