AI Article Synopsis
- The study investigates the effects of gastric band management during pregnancy, comparing outcomes from deflation and inflation groups.
- Women with deflated bands had better neonatal outcomes, showing no cases of small for gestational age infants, but experienced greater weight gain and potential increased risk of gestational hypertension.
- Overall, while deflation improved baby outcomes, it appeared to lead to worse maternal health compared to inflation, indicating a complex trade-off in management strategies.
Article Abstract
Background: With no evidence to guide management of the gastric band in pregnancy, we aim to compare outcomes according to band management.
Methods: Data were collected on all women pregnant (November 2011-October 2012) following gastric banding, using the UK Obstetric Surveillance System surveillance system. We compared outcomes between band management groups and with national data.
Results: Band management was variable; deflation 43.4%, inflation maintained 56.6%. The deflation group had lower risk of small for gestational age infants (no cases vs. 11.3%; risk ratio = 0.14, = 0.05). There was greater gestational weight gain (deflation 15.4 kg, inflation 7.6 kg; adjusted = 0.05), and perhaps higher risk of gestational hypertension (deflation 10.5%, inflation no cases; = 0.08) in the deflation group. Other maternal outcomes were similar between management groups but overall worse than national data.
Conclusions: Deflation is associated with better outcomes for babies but worse outcomes for mothers than maintained inflation.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5480645 | PMC |
| http://dx.doi.org/10.1177/1753495X16681200 | DOI Listing |
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