Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Outcomes After Laparoscopic Sleeve Gastrectomy

Obstet Gynecol; ePub 2018 Feb 5; Rottenstreich, et al

Laparoscopic sleeve gastrectomy is associated with reduced rates of gestational diabetes mellitus (GDM), excessive fetal growth, and cesarean delivery and an increased rate of small-for-gestational-age (SGA) and low-birth-weight neonates. This according to a retrospective case-control study of deliveries from 2006 to 2016 at 2 university hospitals. Among the details:

  • Data from 238 women were analyzed, 119 post-laparoscopic sleeve gastrectomy and 119 matched control participants.
  • The median preoperative body mass index (BMI) was 41.7 and the median postoperative BMI was 28.9 among the post-laparoscopic sleeve gastrectomy patients.
  • Compared with the control group, the study group had lower rates of GDM (3.4% vs 17.6%), large-for-gestational-age neonates (1.7% vs 19.3%), and birth weight >4,000 g (0.8% vs 7.6%), but higher proportions of SGA neonates (14.3% vs 4.2%) and low-birth-weight neonates (12.6% vs 4.2%).
  • Rates of gestational hypertensive disorders and prematurity were comparable between the groups.

Citation:

Rottenstreich A, Elchalal U, Kleinstern G, et al. Maternal and perinatal outcomes after laparoscopic sleeve gastrectomy. [Published online ahead of print February 5, 2018]. Obstet Gynecol. doi: 10.1097/AOG.0000000000002481.

This Week's Must Reads

Prophylactic Antibiotic Use in Labor & Delivery, Obstet Gynecol; 2018 Sep; Coleman, et al

USPSTF on Screening for Cervical Cancer, JAMA; 2018 Aug 21; US Preventive Services Task Force

Prevention of Obstetric Lacerations at Vaginal Delivery, Obstet Gynecol; 2018 Sep; Cichowski, et al

Effect of Menstrual Bleeding on IUD Discontinuation, Am J Obstet Gynecol; ePub 2018 Aug 28; Hobby, et al

Leukemia risk after maternal contraception use, Hargreave M et al. Lancet Oncol. 2018 Sep 6. doi: 10.1016/S1470-2045(18)30479-0

Must Reads in Surgery

Vaginal Preparation Before Cesarean Section, Cochrane Library; ePub 2018 Jul 17; Haas, et al

Morcellation of incidental uterine sarcomas doubled 10-year mortality risk in Norwegian study, Bretthauer M et al. European Journal of Cancer; 2018, 62-68 https://doi.org/10.1016/j.ejca.2018.06.007

Uterine Weight & Complications After Hysterectomy, Am J Obstet Gynecol; ePub 2018 Jun 27; Louie, et al

Salpingectomy at Time of Cesarean Delivery, Contraception; ePub 2018 Jun 20; Lehn, et al

Occult Gynecologic Cancer in Hysterectomy or Myomectomy, Obstet Gynecol; ePub 2018 Mar 8; Desai, et al