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Titolo:
Pregnancy after Lap-Band (R) surgery: Management of the band to achieve healthy weight outcomes
Autore:
Dixon, JB; Dixon, ME; OBrien, PE;
Indirizzi:
Monash Univ, Alfred Hosp, Dept Surg, Melbourne, Vic 3181, Australia MonashUniv Melbourne Vic Australia 3181 , Melbourne, Vic 3181, Australia
Titolo Testata:
OBESITY SURGERY
fascicolo: 1, volume: 11, anno: 2001,
pagine: 59 - 65
SICI:
0960-8923(200102)11:1<59:PAL(SM>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
NEURAL-TUBE DEFECTS; MORBIDLY OBESE WOMEN; INFANT BIRTH-WEIGHT; GASTRIC BYPASS; PREPREGNANCY WEIGHT; MATERNAL OBESITY; GAIN; RISK; COMPLICATIONS; FETAL;
Keywords:
morbid obesity; gastric banding; laparoscopy; pregnancy; obstetric management;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
38
Recensione:
Indirizzi per estratti:
Indirizzo: Dixon, JB Monash Univ, Alfred Hosp, Dept Surg, Melbourne, Vic 3181, Australia Monash Univ Melbourne Vic Australia 3181 e, Vic 3181, Australia
Citazione:
J.B. Dixon et al., "Pregnancy after Lap-Band (R) surgery: Management of the band to achieve healthy weight outcomes", OBES SURG, 11(1), 2001, pp. 59-65

Abstract

Background: Severely obese women have higher obstetric risks and poorer neonatal outcomes. Weight loss reduces obstetric risk. The introduction of a laparoscopically-placed adjustable gastric band, a safe and effective method of weight loss, has given us the ability and responsibility to adjust theband in relation to pregnancy. Objective: Our aim was to devise a safe management plan to achieve healthymaternal weight gain (Institute of Medicine 1990) during pregnancy. Methods: In a cohort group of 650 patients to have a Lap-Band(R) placementfor severe obesity, we have reviewed the management of the band and pregnancy outcomes of all women (n=20) to complete a pregnancy (n=22) with a bandin-situ. Results: All 22 pregnancies were singleton, with no primary caesarean sections (3 for recurring indications). The mean maternal weight gain was 8.3 kg compared with 15.2 kg for the 15 previous pregnancies of women in this group (p<0.05). There was no difference in birth weights. Obstetric complications were minimal, and there were no premature or low birth weight infants.11 of 15 subjects with active management of the band achieved a maternal weight gain within the advised range compared with only 2 of 7 prior to this. Conclusion: The ability to adjust gastric restriction allows optimal control of maternal weight change in pregnancy and should help avoid the risks of excessive weight change.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/09/20 alle ore 11:19:57