There is no guidance on how to manage the gastric band in pregnancy. 11 A recent study has also suggested that there may be increased rates of perinatal mortality in pregnancies following bariatric surgery. 11 However, concerns exist over perinatal outcomes, with some studies reporting increased rates of small for gestational age (SGA) infants and intrauterine growth restriction in pregnancies following bariatric surgery. Pregnancy after bariatric surgery, including LAGB, has been associated with improved maternal outcomes compared with obese controls, and compared with pregnancies in the same women before bariatric surgery. The degree of band inflation and nutritional intake can be adjusted with the addition or removal of fluid via a subdermal port. 10 LAGB involves laparoscopic placement of an inflatable band around the upper portion of the stomach, reducing nutritional intake. 8īariatric surgery is more effective 9 in achieving weight loss than non-surgical methods laparoscopic adjustable gastric banding (LAGB) accounts for 30% of bariatric procedures. 6 Risks increase with body mass index (BMI) 3, 6, 7 whereas weight loss before pregnancy and limitation of weight gain during pregnancy are associated with better outcomes. 2 Obesity is associated with adverse pregnancy outcomes, including gestational diabetes, 3 pre-eclampsia, 3 venous thromboembolism, 4 post-partum haemorrhage, 3 maternal mortality, 5 and stillbirth. Obesity affects in excess of 20% of women of reproductive age 1 and its prevalence is expected to increase.

Game pregnant inflation