Obstetric outcome following laparoscopic adjustable gastric banding.
OBJECTIVE
To evaluate obstetric outcomes following laparoscopic adjustable gastric banding (LAGB) in obese women.


METHODS
Obstetric outcomes were compared in a retrospective case-control study with 427 obese women, 13 who underwent LABG and 414 who did not.


RESULTS
The mean weight gain during pregnancy was significantly lower in the LABG group than among controls (5.5 kg vs. 7.1 kg; P<0.05). The incidence of pre-eclampsia, gestational diabetes mellitus, low birth weight, and fetal macrosomia was less in the LABG group (P<0.05), and the incidence of cesarean deliveries during labor was half in the LAGB group (15.3% vs. 34.4%; P<0.01). Neonatal outcomes were not significantly different in the 2 groups.


CONCLUSIONS
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.
Ducarme
G
G
Department of Obstetrics and Gynecology, CHU Jean Verdier, Assistance Publique - Hôpitaux de Paris, Bondy, France. g.ducarme@gmail.com
Revaux
A
A
Rodrigues
A
A
Aissaoui
F
F
Pharisien
I
I
Uzan
M
M
D000328:Adult; D001034:Apgar Score; D050110:Bariatric Surgery; D001724:Birth Weight; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D009765:Obesity / Q000150:complications* / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology / Q000517:prevention & control*; D011256:Pregnancy Outcome; D012189:Retrospective Studies