Obesity Surgery

, Volume 19, Issue 9, pp 1286–1292 | Cite as

Pregnancy Outcome in Patients Following Different Types of Bariatric Surgeries

  • Eyal SheinerEmail author
  • Evgenia Balaban
  • Jacob Dreiher
  • Isaac Levi
  • Amalia Levy
Clinical Research



The objective of this study was to investigate pregnancy outcome of patients following different types of bariatric surgery.


A population-based study includes all pregnancies of patients with bariatric surgeries delivered during 1988–2008. Pregnancy outcome was compared between the different types of surgeries.


This retrospective study included 449 deliveries: 394 deliveries following pure restrictive operations—laparoscopic gastric banding (LAGB; n = 202), silastic ring vertical gastroplasty (SRVG; n = 136), and vertical-banded gastroplasty (VBG; n = 56)—and 55 deliveries following restrictive and malabsorptive Roux-en-Y gastric bypass (RGB). While no significant differences were noted between the groups regarding body mass index (BMI) before the bariatric operations or prepregnancy BMI, patients following LAGB had significantly higher BMI before delivery (36.8 ± 5.9 kg compared to the SRVG 33.4 ± 6.0, VBG 34.2 ± 5.4, and RGB 34.9 ± 6.8 groups; p < 0.001). Following LAGB, patients had higher weight gain during pregnancy (13.1 ± 9.6 kg) compared to the SRVG (8.8 ± 7.4), VBG (8.5 ± 8.0), and RGB (11.6 ± 9.6; p < 0.001) groups. The interval between operation and pregnancy was shorter in the LAGB group (22.8 months) compared to the SRVG (41.0) and the VBG (42.1) groups and was significantly higher in the RGB group (57.4; p < 0.001). Birth weight was significantly higher among newborns of patients following RBG (3,332.8 ± 475.5 g) compared to the restrictive procedures (3,104.3 ± 578.7 in the LAGB, 3,086.7 ± 533.1 in the SRVG, and 3,199.2 ± 427.2 in the VBG groups). No significant differences in low birth weight (<2,500 g) or macrosomia (>4,000 g), or low Apgar scores or perinatal mortality were noted between the groups.


There is no difference in the affect on pregnancy outcome among the different forms of bariatric surgeries; all procedures have basically comparable perinatal outcome.


Bariatric surgery Pregnancy Restrictive operations Malabsorptive operations Laparoscopic gastric banding Silastic ring vertical gastroplasty Vertical-banded gastroplasty Roux-en-Y gastric bypass 


  1. 1.
    Maggard MA, Yermilov I, Li Z, et al. Pregnancy and fertility following bariatric surgery: a systematic review. JAMA. 2008;300:2286–96.CrossRefGoogle Scholar
  2. 2.
    Gross T, Sokol RJ, King KC. Obesity in pregnancy: risks and outcome. Obstet Gynecol. 1980;56:446–50.PubMedGoogle Scholar
  3. 3.
    Hedley AA, Ogden CL, Johnson CL, et al. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. JAMA. 2004;291:2847–50.CrossRefGoogle Scholar
  4. 4.
    Cnattingius S, Bergstrom R, Lipworth L, et al. Prepregnancy weight and the risk of adverse pregnancy outcomes. N Engl J Med. 1998;338:147–52.CrossRefGoogle Scholar
  5. 5.
    Sarwer DB, Allison KC, Gibbons LM, et al. Pregnancy and obesity: a review and agenda for future research. J Womens Health (Larchmt). 2006;15:720–33.CrossRefGoogle Scholar
  6. 6.
    Yogev Y, Visser GH. Obesity, gestational diabetes and pregnancy outcome. Semin Fetal Neonatal Med. 2009;14(2):77–84.CrossRefGoogle Scholar
  7. 7.
    Sheiner E, Levy A, Menes TS, et al. Maternal obesity as an independent risk factor for caesarean delivery. Paediatr Perinat Epidemiol. 2004;18:196–201.CrossRefGoogle Scholar
  8. 8.
    Burstein E, Levy A, Mazor M, et al. Pregnancy outcome among obese women: a prospective study. Am J Perinatol. 2008;25:561–6.CrossRefGoogle Scholar
  9. 9.
    Kumari AS. Pregnancy outcome in women with morbid obesity. Int J Gynaecol Obstet. 2001;73:101–7.CrossRefGoogle Scholar
  10. 10.
    Yogev Y, Langer O. Pregnancy outcome in obese and morbidly obese gestational diabetic women. Eur J Obstet Gynecol Reprod Biol. 2008;137:21–6.CrossRefGoogle Scholar
  11. 11.
    Yogev Y, Langer O, Xenakis EM, et al. The association between glucose challenge test, obesity and pregnancy outcome in 6390 non-diabetic women. J Matern Fetal Neonatal Med. 2005;17:29–34.CrossRefGoogle Scholar
  12. 12.
    Gastrointestinal Surgery for Severe Obesity. National Institutes of Health consensus development conference statement. Am J Clin Nutr. 1992;55:615S–9.CrossRefGoogle Scholar
  13. 13.
    Hall JC, Watts JM, O’Brien PE, et al. Gastric surgery for morbid obesity. The Adelaide Study. Ann Surg. 1990;211:419–27.CrossRefGoogle Scholar
  14. 14.
    Martin LF, Finigan KM, Nolan TE. Pregnancy after adjustable gastric banding. Obstet Gynecol. 2000;95:927–30.PubMedGoogle Scholar
  15. 15.
    Weintraub AY, Levy A, Levi I, et al. Effect of bariatric surgery on pregnancy outcome. Int J Gynaecol Obstet. 2008;103:246–51.CrossRefGoogle Scholar
  16. 16.
    Wittgrove AC, Jester L, Wittgrove P, et al. Pregnancy following gastric bypass for morbid obesity. Obes Surg. 1998;8:461–4. discussion 465–6.CrossRefGoogle Scholar
  17. 17.
    Karmon A, Sheiner E. Pregnancy after bariatric surgery: a comprehensive review. Arch Gynecol Obstet. 2008;277:381–8.CrossRefGoogle Scholar
  18. 18.
    Karmon A, Sheiner E. Timing of gestation after bariatric surgery: should women delay pregnancy for at least 1 postoperative year? Am J Perinatol. 2008;25:331–3.CrossRefGoogle Scholar
  19. 19.
    Sheiner E, Levy A, Silverberg D, et al. Pregnancy after bariatric surgery is not associated with adverse perinatal outcome. Am J Obstet Gynecol. 2004;190:1335–40.CrossRefGoogle Scholar
  20. 20.
    Sheiner E, Menes TS, Silverberg D, et al. Pregnancy outcome of patients with gestational diabetes mellitus following bariatric surgery. Am J Obstet Gynecol. 2006;194:431–5.CrossRefGoogle Scholar
  21. 21.
    Kim E, Kim D, Lee S, et al. Minimal-scar laparoscopic adjustable gastric banding (LAGB). Obes Surg. 2009;19(4):500–3.CrossRefGoogle Scholar
  22. 22.
    Dolan K, Hatzifotis M, Newbury L, et al. A comparison of laparoscopic adjustable gastric banding and biliopancreatic diversion in superobesity. Obes Surg. 2004;14:165–9.CrossRefGoogle Scholar
  23. 23.
    Salem L, Devlin A, Sullivan SD, et al. Cost-effectiveness analysis of laparoscopic gastric bypass, adjustable gastric banding, and nonoperative weight loss interventions. Surg Obes Relat Dis. 2008;4:26–32.CrossRefGoogle Scholar
  24. 24.
    Spivak H, Hewitt MF, Onn A, et al. Weight loss and improvement of obesity-related illness in 500 U.S. patients following laparoscopic adjustable gastric banding procedure. Am J Surg. 2005;189:27–32.CrossRefGoogle Scholar
  25. 25.
    Ojo P, Valin E. Cost-effective restrictive bariatric surgery: laparoscopic vertical banded gastroplasty versus laparoscopic adjustable gastric band. Obes Surg 2008 (in press).Google Scholar
  26. 26.
    Lancaster RT, Hutter MM. Bands and bypasses: 30-day morbidity and mortality of bariatric surgical procedures as assessed by prospective, multi-center, risk-adjusted ACS-NSQIP data. Surg Endosc. 2008;22:2554–63.CrossRefGoogle Scholar
  27. 27.
    Dixon JB, Dixon ME, O’Brien PE. Birth outcomes in obese women after laparoscopic adjustable gastric banding. Obstet Gynecol. 2005;106:965–72.CrossRefGoogle Scholar
  28. 28.
    Ofir D, Levy A, Wiznitzer A, et al. Familial Mediterranean fever during pregnancy: an independent risk factor for preterm delivery. Eur J Obstet Gynecol Reprod Biol. 2008;141:115–8.CrossRefGoogle Scholar
  29. 29.
    ACOG. ACOG Committee Opinion number 315, September 2005. Obesity in pregnancy. Obstet Gynecol. 2005;106:671–5.CrossRefGoogle Scholar
  30. 30.
    Cunningham E. What effect does weight-loss surgery have on pregnancy outcomes? J Am Diet Assoc. 2009;109:772.CrossRefGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2009

Authors and Affiliations

  • Eyal Sheiner
    • 1
    Email author
  • Evgenia Balaban
    • 1
  • Jacob Dreiher
    • 2
  • Isaac Levi
    • 3
  • Amalia Levy
    • 4
  1. 1.Departments of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health SciencesBen-Gurion University of the NegevBeer-ShevaIsrael
  2. 2.Division of Health in the Community, Faculty of Health SciencesBen-Gurion University of the NegevBeer-ShevaIsrael
  3. 3.Department of Surgery, Soroka University Medical Center, Faculty of Health SciencesBen-Gurion University of the NegevBeer-ShevaIsrael
  4. 4.Epidemiology and Health Services Evaluation, Faculty of Health SciencesBen-Gurion University of the NegevBeer-ShevaIsrael

Personalised recommendations