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- Title
Impact of Laparoscopic Adjustable Gastric Banding on Pregnancy, Maternal Weight, and Neonatal Health.
- Authors
Carelli, Allison; Ren, Christine; Youn, Heekoung; Friedman, Erica; Finger, Anne; Lok, Benjamin; Kurian, Marina; Fielding, George
- Abstract
Background: Laparoscopic adjustable gastric banding (LAGB) is a proven method for weight reduction. Less is known about pregnancies in patients after LAGB. Methods: Information was gathered, through database and survey, on women who underwent LAGB at NYU Medical Center between 2001 and 2008 then became pregnant. Results: Pregnancy occurred in 133 women, resulting in 112 babies, including six sets of twins. The average pre-pregnancy body mass index (BMI) was 32.7. Average weight gain was 11.5 kg, but was higher for those with pre-pregnancy BMI <30.0 compared to BMI >30.0 (16.4 vs 8.6 kg). Of singleton pregnancies, 89% were carried to full term, with cesarean section in 45%. Those with pre-pregnancy BMI <30.0 had a lower rate of cesarean section (35.71%), but it was not statistically significant ( p = 0.55). Average birth weight was 3,268.6 g. Eight percent of babies from singleton pregnancies were low birth weight (<2,500 g), and seven percent were high birth weight (>4,000 g). Average Apgar scores at 1 and 5 min were 8.89 and 9.17. Four percent of patients developed gestational diabetes, and 5% developed pre-eclampsia. Band adjustments were performed in 71% of patients. Weight gain was higher in those who had their bands loosened in the first trimester ( p = 0.063). Three patients had intrapartum band slips; one required surgery during pregnancy. Conclusions: LAGB is tolerable in pregnancy with rare intrapartum band slips. Weight gain is less in those with higher pre-pregnancy BMI and those who had their bands filled or not adjusted. Babies born to these mothers are as healthy as the general population.
- Subjects
GASTRIC banding; BARIATRIC surgery; STOMACH surgery; WEIGHT loss; PREGNANCY; PREGNANT women; GESTATIONAL diabetes
- Publication
Obesity Surgery, 2011, Vol 21, Issue 10, p1552
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-010-0265-1