Obstetric outcome following laparoscopic adjustable gastric banding

Ducarme, Guillaume; Revaux, Aurélie; Rodrigues, A.; Aissaoui, F.; Pharisien, I.; Uzan, M.

doi:10.1016/j.ijgo.2007.02.020

Cited by 108 publications

(38 citation statements)

References 20 publications

(30 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The 6 studies included in this section found either no difference or an increased risk of SGA neonates among bariatric surgery patients [13,15,[19][20][21]23] while our data suggests an increased risk of SGA among the bariatric surgery woman as compared to the controls. However, this is potentially due to the same reasons as listed above for IUGR.…”

Section: Sgacontrasting

confidence: 56%

Maternal and fetal delivery outcomes in pregnancies following bariatric surgery: a meta-analysis of the literature

Young¹,

Drew²,

Ibikunle³

et al. 2018

MIS

View full text Add to dashboard Cite

Aim: The objective of this study is to evaluate maternal and fetal outcomes following pregnancies after bariatric surgery as compared to the general population affected by obesity. Methods:A systematic review was conducted through MEDLINE, Cochrane, and EMBASE to identify relevant studies from 2007 to 2016 with comparative data on the maternal and fetal delivery outcomes following bariatric surgery as compared to the population affected by obesity. The primary outcome analyzed was the rate of cesarean deliveries.Other outcomes included intrauterine growth restriction, small for gestational age, large for gestational age, macrosomia pregnancy-induced hypertension, gestational diabetes, assisted vaginal delivery, and preterm delivery. Statistical analysis was done using fixed-effects meta-analysis to compare the mean value of the two groups (Comprehensive Meta-Analysis Version 3.3.070 software; Biostat Inc., Englewood, NJ). Results:Out of 549 studies, 13 were quantitatively assessed and included for meta-analysis. The need for caesarean sections in post-bariatric women was found to be significantly lower when compared to women affected by obesity [odds ratio (OR) 0.623, P < 0.001). There were also significant reduction in the incidence of LGA (OR 0.491, P < 0.001), macrosomia (OR 0.251, P < 0.001), and assisted vaginal delivery (OR 0.807, P < 0.001) in the post bariatric group of women. There was an increase in the incidence of PIH (OR 1.113, P < 0.001), SGA (OR 2.305, P < 0.001) and IUGR (OR 2.099, P < 0.001). The incidence of preterm delivery (OR 0.982, P > 0.05) and gestational diabetes (OR 1.046, P > 0.05) were similar in both groups. Conclusion:Patients affected by obesity considering conceiving in the near future should consider bariatric surgery prior to conception to lower their risk of potentially adverse delivery outcomes.

show abstract

Section: Sgacontrasting

confidence: 56%

Maternal and fetal delivery outcomes in pregnancies following bariatric surgery: a meta-analysis of the literature

Young¹,

Drew²,

Ibikunle³

et al. 2018

MIS

View full text Add to dashboard Cite

show abstract

“…Wax et al also found that birth weights were similar among women delivering after gastric bypass compared to women delivering without prior bariatric surgery (13). In a study from France low birth weight occurred even less often among women who underwent LABG but that was in comparison with obese women (15). One reason for contradicting results could be different compositions of the reference group.…”

Section: Commentmentioning

confidence: 97%

“…Some studies compare outcome between women who underwent surgery to obese controls (15), others use control subjects stratified by Body Mass Index (BMI) (16).…”

Section: Introductionmentioning

confidence: 99%

Bariatric surgery in a national cohort of women: sociodemographics and obstetric outcomes

Josefsson

Blomberg

Bladh

et al. 2011

American Journal of Obstetrics and Gynecology

View full text Add to dashboard Cite

Word countAbstract: 144 words women who had undergone bariatric surgery constituted the index group. Results:The index women more often have parents with lower sociodemographic status and are more often born LGA. The women surgically treated before their first child had a shorter gestational length, their children had lower birth weight and were more often born SGA compared to the children born to the reference mothers. Women whose child was born prior to their bariatric surgery more often had a cesarean section, and their children were more often LGA. Conclusion:Preconception bariatric surgery in obese women may be associated with improved obstetrical outcomes.

show abstract

“…[10][11][12] Therefore, in this group of patients, the rate of pregnancy complications, both maternal and fetal, seems to be reduced after surgery compared with non-operated morbidly obese women.…”

mentioning

confidence: 86%

Avaliação da vitalidade fetal e resultados perinatais em gestações após gastroplastia com derivação em Y de Roux

Nomura¹,

Dias²,

Igai³

et al. 2010

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

Nomura rmY et al. 670Rev Assoc Med Bras 2010; 56(6): Incidence and prevalence of morbid obesity have increased and bariatric surgery has emerged as a treatment option for this disease. Amongst patients who undergo bariatric surgery, many are women of childbearing age and, after surgery, there is significant improvement in fertility, with normal hormone levels and menstrual cycles, which promotes the occurrence of pregnancy. 1 The benefits of bariatric surgery consist of reduction in body weight and mitigation of risks related to associated comorbidities. However, there are major drawbacks caused by the nutritional deficits that are triggered by malabsorption of nutrients induced by the gastric bypass.Pregnancy in obese women is associated with higher rates of maternal and perinatal complications as compared to pregnancies in women with normal body mass index (BMI). There is increased incidence of diabetes, hypertension, cesarean delivery, fetal macrosomia, and anesthetic complications. 2-5 Nevertheless, studies involving pregnant women who underwent previous bariatric surgery have not demonstrated a significant impact on perinatal outcomes. [6][7][8][9] On the other hand, regarding the effects on the maternal compartment in patients with morbid obesity, most studies have reported encouraging results after bariatric surgery. Some Results. Thirty pregnancies after Roux-en-Y gastric bypass were identified and 24 of them had fetal well-being assessed. All patients had normal results on cardiotocography, fetal biophysical profile, and umbilical artery Doppler velocimetry. There was one case of oligohydramnios. The main complication was maternal anemia (Hb < 11.0 g/dL, 86.7%). Twenty-one patients had cesarean section (70%). Delivery-related complications included one case of adherence, one of hematoma and uterine wall infection, and one of postpartum hysterectomy because of uterine fibroids and atony. The rate of small for gestational age infants was 23.3%. Conclusion.There was no impairment of fetal well-being in pregnancies after Roux-en-Y gastric bypass. The main maternal complication was anemia and these patients need specific nutritional counseling including broad assessment of micronutrient deficiencies since the early stages of pregnancy.

show abstract

Obstetric outcome following laparoscopic adjustable gastric banding

Abstract: Among obese women, the incidence of adverse obstetric outcomes was less in those who underwent LABG than in those who did not. These results suggest that obese women who wish to become pregnant would decrease their risk of obstetric complications if they first underwent LAGB.

Cited by 108 publications

References 20 publications

Maternal and fetal delivery outcomes in pregnancies following bariatric surgery: a meta-analysis of the literature

Maternal and fetal delivery outcomes in pregnancies following bariatric surgery: a meta-analysis of the literature

Bariatric surgery in a national cohort of women: sociodemographics and obstetric outcomes

Avaliação da vitalidade fetal e resultados perinatais em gestações após gastroplastia com derivação em Y de Roux

Contact Info

Product

Resources

About