Jefferys, A;
Lenguerrand, E;
Cornthwaite, K;
Johnson, A;
Lynch, M;
Hyde, J;
Draycott, T;
(2017)
Deflation versus maintained inflation of gastric band in pregnancy: A national cohort study.
Obstetric Medicine
, 10
(2)
pp. 67-73.
10.1177/1753495X16681200.
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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, p = 0.05). There was greater gestational weight gain (deflation 15.4 kg, inflation 7.6 kg; adjusted p = 0.05), and perhaps higher risk of gestational hypertension (deflation 10.5%, inflation no cases; p = 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.
| Type: | Article |
|---|---|
| Title: | Deflation versus maintained inflation of gastric band in pregnancy: A national cohort study |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1177/1753495X16681200 |
| Publisher version: | https://doi.org/10.1177%2F1753495X16681200 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | High-risk pregnancy, obesity |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health > Maternal and Fetal Medicine |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10058668 |
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