TY - JOUR
T1 - Maternal and perinatal outcomes after laparoscopic sleeve gastrectomy
AU - Rottenstreich, Amihai
AU - Elchalal, Uriel
AU - Kleinstern, Geffen
AU - Beglaibter, Nahum
AU - Khalaileh, Abed
AU - Elazary, Ram
N1 - Publisher Copyright: © 2018 by American College of Obstetricians and Gynecologists.
PY - 2018
Y1 - 2018
N2 - OBJECTIVE: To examine associations of laparoscopic sleeve gastrectomy with maternal and perinatal outcomes. METHODS: We conducted a retrospective case-control study of deliveries that occurred from 2006 to 2016 at two university hospitals. The study group comprised all women who had undergone laparoscopic sleeve gastrectomy and who delivered during the study period. If a woman had more than one pregnancy during the study period, data from only her first pregnancy were used. A control group was established by matching preoperative body mass index (BMI), age, parity, delivery history, and delivery year. RESULTS: Data from 238 women were analyzed, 119 post-laparoscopic sleeve gastrectomy and 119 matched control parturients. Among the post-laparoscopic sleeve gastrectomy patients, the median preoperative BMI was 41.7 (interquartile range 39.9-44.4) and the median postoperative BMI was 28.9 (26.6-32.0). Compared with the control group, the study group had lower rates of gestational diabetes mellitus (3.4% vs 17.6%, P5.001), large-for-gestational-Age neonates (1.7% vs 19.3%, P5.001), and birth weight greater than 4,000 g (0.8% vs 7.6%, P5.02) but higher proportions of small-forgestational-age (SGA) neonates (14.3% vs 4.2%, P5.01) and low-birth-weight neonates (12.6% vs 4.2%, P5.03). Rates of gestational hypertensive disorders and prematurity were comparable between the groups. For the study group, hemoglobin levels were lower in early pregnancy (median 12.6 vs 13.2 g/dL, P5.001) and after delivery (10.5 vs 10.8 g/dL, P5.002), and a higher proportion of patients were treated with intravenous iron supplementation during pregnancy (14.3% vs 0.8%, P5.001). Cesarean delivery rates during labor were lower in the study group (10.1% vs 20.2%, P5.04). CONCLUSION: Laparoscopic sleeve gastrectomy was associated with reduced rates of gestational diabetes mellitus, excessive fetal growth, and cesarean delivery and an increased rate of SGA and low-birth-weight neonates.
AB - OBJECTIVE: To examine associations of laparoscopic sleeve gastrectomy with maternal and perinatal outcomes. METHODS: We conducted a retrospective case-control study of deliveries that occurred from 2006 to 2016 at two university hospitals. The study group comprised all women who had undergone laparoscopic sleeve gastrectomy and who delivered during the study period. If a woman had more than one pregnancy during the study period, data from only her first pregnancy were used. A control group was established by matching preoperative body mass index (BMI), age, parity, delivery history, and delivery year. RESULTS: Data from 238 women were analyzed, 119 post-laparoscopic sleeve gastrectomy and 119 matched control parturients. Among the post-laparoscopic sleeve gastrectomy patients, the median preoperative BMI was 41.7 (interquartile range 39.9-44.4) and the median postoperative BMI was 28.9 (26.6-32.0). Compared with the control group, the study group had lower rates of gestational diabetes mellitus (3.4% vs 17.6%, P5.001), large-for-gestational-Age neonates (1.7% vs 19.3%, P5.001), and birth weight greater than 4,000 g (0.8% vs 7.6%, P5.02) but higher proportions of small-forgestational-age (SGA) neonates (14.3% vs 4.2%, P5.01) and low-birth-weight neonates (12.6% vs 4.2%, P5.03). Rates of gestational hypertensive disorders and prematurity were comparable between the groups. For the study group, hemoglobin levels were lower in early pregnancy (median 12.6 vs 13.2 g/dL, P5.001) and after delivery (10.5 vs 10.8 g/dL, P5.002), and a higher proportion of patients were treated with intravenous iron supplementation during pregnancy (14.3% vs 0.8%, P5.001). Cesarean delivery rates during labor were lower in the study group (10.1% vs 20.2%, P5.04). CONCLUSION: Laparoscopic sleeve gastrectomy was associated with reduced rates of gestational diabetes mellitus, excessive fetal growth, and cesarean delivery and an increased rate of SGA and low-birth-weight neonates.
UR - http://www.scopus.com/inward/record.url?scp=85047737374&partnerID=8YFLogxK
U2 - https://doi.org/10.1097/AOG.0000000000002481
DO - https://doi.org/10.1097/AOG.0000000000002481
M3 - Article
C2 - 29420411
SN - 0029-7844
VL - 131
SP - 451
EP - 456
JO - Obstetrics and Gynecology
JF - Obstetrics and Gynecology
IS - 3
ER -