Normative postpartum intraabdominal pressure: potential implications in the diagnosis of abdominal compartment syndrome - 19/08/11
Résumé |
Objective |
We sought to establish normative values of intraabdominal pressure (IAP) in postpartum women with and without arterial hypertension.
Study Design |
Bladder pressure was measured via a Foley catheter 1 hour following completion of cesarean section in supine and semirecumbent positions in 21 patients.
Results |
Mean supine IAP (6.4 ± 5.2 mm Hg) was significantly lower than semirecumbent IAP (11.6 ± 7.2 mm Hg) (P < .05). Body mass index (BMI) was significantly correlated to IAP regardless of the gestational age (r2 supine = 0.46, semirecumbent = 0.37; P = .004 for either). Increasing gravidity was associated with decreasing IAP. Patients with arterial hypertension had higher BMI, were delivered earlier, and had higher IAP than patients with normal arterial pressure, either in supine or semirecumbent position. However, these relationships were not significant when results were controlled for BMI.
Conclusion |
Postcesarean section IAP is higher than in the general surgical population. Patients with hypertensive disorders have IAPs approaching to intraabdominal hypertension range.
Le texte complet de cet article est disponible en PDF.Key words : intraabdominal pressure, postpartum, pregnancy
Plan
| Reprints not available from the authors. |
|
| Cite this article as: Abdel-Razeq SS, Campbell K, Funai EF, et al. Normative postpartum intraabdominal pressure: potential implications in the diagnosis of abdominal compartment syndrome. Am J Obstet Gynecol 2010;203:149.e1-4. |
Vol 203 - N° 2
P. 149.e1-149.e4 - août 2010 Retour au numéro
Article précédent
- Pelvic girdle pain in pregnancy: the impact of parity
- Elisabeth K. Bjelland, Anne Eskild, Rune Johansen, Malin Eberhard-Gran
- Dynamic modulation of cytoskeleton during in vitro maturation in human oocytes
- Shan Liu, Yuan Li, Huai L. Feng, Jun H. Yan, Mei Li, Shui Y. Ma, Zi J. Chen
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?