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Emmy award-winning reporter John Biffar, hosts the local medical series Health Matters which airs on NBC2 News Today weekday mornings between 5-5:30 a.m. and during NBC2 News at 4:00 p.m.
 
 
 

      

Lap Band and Pregnancy
September 9, 2008


It’s no secret that America’s obesity rates are steadily increasing. Dr. Mohamed Faisal is a neonatologist at The Children’s Hospital of Southwest Florida. He says, “In the 1980’s the average weight of a pregnant woman was in the 180 pound range now the average weight is 200 pounds.”

In order to prevent the complications obesity can cause during pregnancy many women are looking to shed pounds before conceiving a baby. Some women are looking to lab-band surgery to help them do that. Dr. Moses Shieh is the Medical Director of Bariatric Surgery for Lee Memorial Health System. He says when it comes to pregnancy and bariatric surgery, “A female patient of child-bearing age becomes pregnant what we can do is deflate the whole band completely.” Deflating the lap band allows more food to flow through a woman’s digestive system and provide proper nutrients to her fetus. “Once the pregnancy is completed and they’re cleared we can reinflate the band again.”

But other weight loss procedures like gastric bypass surgery may not be as accommodating to pregnancy. “With the gastric bypass we’ve had to tell our patients in fact get them to sign a waiver that they can’t be pregnant within that first year and a half,” says Dr. Shieh. Because the surgery drastically alters part of the digestive system, a fetus will not likely be able to get proper nutrients and therefore not develop correctly or even be unable to survive. “We don’t want those things to happen, that being the case pregnancy becomes an issue with gastric bypass.” Dr. Shieh says gastric bypass surgery does not completely rule out the chance of having a healthy pregnancy.

When it comes to weight loss, most gastric bypass patients will plateau after about 18 months.