Birth Outcomes in Obese Women After Laparoscopic Adjustable Gastric Banding

Dixon, John; Dixon, Maureen Elizabeth; O'Brien, Paul Edmond

doi:10.1097/01.aog.0000181821.82022.82

Cited by 196 publications

(157 citation statements)

References 31 publications

Supporting

Mentioning

143

Contrasting

Unclassified

Order By: Relevance

“…We also aimed to study the frequencies of hypertension/preeclampsia and diabetes during pregnancy but found no differences. This result is in accordance with earlier findings on pregnancy outcome after bariatric surgery (9,28).…”

Section: Commentsupporting

confidence: 93%

See 1 more Smart Citation

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

Section: Commentsupporting

confidence: 93%

“…There are several studies that have evaluated obstetric outcome after bariatric surgery (8)(9)(10)(11)(12)(13).…”

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

show abstract

“…Moreover, Dixon et al provided a prospective study of 79 women who became pregnant after LAGB. The pregnancy outcomes (pregnancy induced hypertension (PIH), gestational diabetes, stillbirths, preterm deliveries, IUGR, and high birth weight) were consistent with general community outcomes [15].…”

Section: Literaturesupporting

confidence: 53%

Unusual bariatric complication in pregnancy

Wessel¹,

Nieuwenhove²

2016

European Journal of Obstetrics & Gynecology and Reproductiv

View full text Add to dashboard Cite

A 21-year old woman, G1P0, was admitted to our University Hospital at 33 weeks and 2 days of gestational age with a 1 week history of nausea and vomiting and doubled transaminases. Two years before she underwent laparoscopic adjusted gastric banding (LAGB). The estimated fetal weight was 1960 grams (corresponding with P25), doppler measurements were all normal. There was an anhydramnion. Because of gestational age, betamethasone 12 mg was administered twice intramuscularly, with an interval of 24 hours. Because of clinical and biochemical deterioration a primary cesarean section was performed based on the suspicion of a HELLP syndrome. Subsequent to the caesarean section, the epigastric pain, nausea and vomiting persisted.An esophagogastroduodenoscopy (EGD) was performed and showed serious band slipping. The patient was planned for urgent laparoscopy. At laparoscopy, a gigantic edematous stomach was seen (size comparable to a 40 weeks gravid uterus), as well as ascites. At exploration, not only a slipping of the gastric band was seen, but also a torsion of the stomach. The postoperative phase was uneventful. One month later, the patient was seen in the outpatient clinic without digestive symptoms.

show abstract

“…4,[18][19][20] Our findings suggest that women who are able to lower their prepregnancy BMI, even if it is only from superobese to morbidly obese, may decrease their risk of cesarean delivery, neonatal hypoglycemia, and composite neonatal morbidity. For a 5′4″ woman, a change in weight of 5.9 lbs corresponds with a 1 unit change in BMI.…”

Section: Commentmentioning

confidence: 73%

597: Maternal super-obesity and perinatal outcomes

Marshall

Guild

Cheng

et al. 2011

American Journal of Obstetrics and Gynecology

View full text Add to dashboard Cite

OBJECTIVE-The purpose of this study was to determine the effect of maternal superobesity (body mass index [BMI], ≥50 kg/m 2 ) compared with morbid obesity (BMI,(40)(41)(42)(43)(44)(45)(46)(47)(48)(49).9 kg/m 2 ) or obesity (BMI, kg/m 2 ) on perinatal outcomes.STUDY DESIGN-We conducted a retrospective cohort study of birth records that were linked to hospital discharge data for all liveborn singleton term infants who were born to obese Missouri residents from 2000-2006. We excluded major congenital anomalies and women with diabetes mellitus or chronic hypertension.RESULTS-There were 64,272 births that met the study criteria, which included 1185 superobese mothers (1.8%). Superobese women were significantly more likely than obese women to have preeclampsia (adjusted relative risk [aRR], 1.7; 95% confidence interval [CI], 1.4 -2.1), macrosomia (aRR, 1.8; 95% CI, 1.3-2.5), and cesarean delivery (aRR, 1.8; 95% CI, 1.5-2.1). Almost one-half of all superobese women (49.1%) delivered by cesarean section, and 33.8% of superobese nulliparous women underwent scheduled primary cesarean delivery.CONCLUSION-Women with a BMI of ≥50 kg/m 2 are at significantly increased risk for perinatal complications compared with obese women with a lower BMI. Keywords pregnancy outcome; superobesityThe obesity epidemic remains unabated in the United States. In 2007-2008 of American women who were 20-39 years old met obesity criteria (body mass index [BMI] ≥30 kg/m 2 ) 1 ; obesity is now an increasingly common and harmful pregnancy complication. Superobesity, as coined in the gastric bypass literature to describe patients who weigh ≥225% of ideal body weight, 2 represents individuals with a BMI of ≥50 kg/m 2 . The number of superobese individuals is growing 5 times faster than other obesity categories, 3 which means that healthcare providers increasingly will be challenged to accommodate their healthcare needs. Presented as a poster at the 31st annual meeting of the Society for Maternal-Fetal Medicine, San Francisco, CA, Feb. 7-12, 2011. NIH Public Access Obese women are more likely than normal weight women to experience preeclampsia, diabetes mellitus, cesarean delivery, fetal growth abnormalities, and stillbirth. 4 Although several studies compare obese women to normal-weight women, to date there have been limited studies on superobesity in pregnancy. [5][6][7] As the number of superobese pregnant women continues to rise, it is important to determine whether there is a "dose-response" relationship between the severity of maternal obesity and perinatal complications.The objective of this study was to determine the effect of maternal superobesity on perinatal outcomes compared with maternal obesity (BMI, 30-39.9 kg/m 2 ) and morbid obesity (BMI,(40)(41)(42)(43)(44)(45)(46)(47)(48)(49).9 kg/m 2 ). We hypothesized that pregnancy in super-obese women, compared with obese and morbidly obese women, is associated with (1) increased risk of maternal complications of pregnancy, (2) greater risk of fetal growth abnormalities, and (3) grea...

show abstract

Birth Outcomes in Obese Women After Laparoscopic Adjustable Gastric Banding

Abstract: II-2.

Cited by 196 publications

References 31 publications

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

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

Unusual bariatric complication in pregnancy

597: Maternal super-obesity and perinatal outcomes

Contact Info

Product

Resources

About