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http://hdl.handle.net/1942/17693
Title: | Intra-Abdominal Pressure Measurements in Term Pregnancy and Postpartum: An Observational Study | Authors: | STAELENS, Anneleen Van Cauwelaert, Stefan TOMSIN, Kathleen Mesens, Tinne Malbrain, Manu L. N. GYSELAERS, Wilfried |
Issue Date: | 2014 | Publisher: | PUBLIC LIBRARY SCIENCE | Source: | PLOS ONE, 9 (8) | Abstract: | Objective: To determine intra-abdominal pressure (IAP) and to evaluate the reproducibility of IAP-measurements using the Foley Manometer Low Volume (FMLV) in term uncomplicated pregnancies before and after caesarean section (CS), relative to two different reference points and to non-pregnant values. Design: Observational cohort study. Setting: Secondary level referral center for feto-maternal medicine. Population: Term uncomplicated pregnant women as the case-group and non-pregnant patients undergoing a laparoscopic assisted vaginal hysterectomy (LAVH) as control group. Methods: IAP was measured in 23 term pregnant patients, before and after CS and in 27 women immediately after and 1 day after LAVH. The midaxillary line was used as zero-reference (IAP(MAL)) in all patients and in 13 CS and 13 LAVH patients, the symphysis pubis (IAP(SP)) was evaluated as additional zero-reference. Intraobserver correlation (ICC) was calculated for each zero-reference. Paired student's t-tests were performed to compare IAP values and Pearson's correlation was used to assess correlations between IAP and gestational variables. Main outcome measures: ICC before and after surgery, IAP before and after CS, IAP after CS and LAVH. Results: The ICC for IAP(MAL) before CS was lower than after (0.71 versus 0.87). Both mean IAP(MAL) and IAP(SP) were significantly higher before CS than after: 14.0 +/- 2.6 mmHg versus 9.8 +/- 3.0 mmHg (p<0.0001) and 8.2 +/- 2.5 mmHg versus 3.5 +/- 1.9 mmHg (p = 0.010), respectively. After CS, IAP was not different from values measured in the LAVH-group. Conclusion: IAP-measurements using FMLV is reproducible in pregnant women. Before CS, IAP is increased in the range of intra-abdominal hypertension for non-pregnant individuals. IAP significantly decreases to normal values after delivery. | Notes: | [Staelens, Anneleen S. E.; Van Cauwelaert, Stefan; Tomsin, Kathleen; Gyselaers, Wilfried] Hasselt Univ, Dept Med & Life Sci, Hasselt, Belgium. [Staelens, Anneleen S. E.; Tomsin, Kathleen; Mesens, Tinne; Gyselaers, Wilfried] Ziekenhuis Oost Limburg, Dept Obstet & Gynaecol, Genk, Belgium. [Malbrain, Manu L. N.] ZNA Stuivenberg, Ziekenhuis Netwerk Antwerpen, Dept Intens Care, Antwerp, Belgium. | Document URI: | http://hdl.handle.net/1942/17693 | ISSN: | 1932-6203 | e-ISSN: | 1932-6203 | DOI: | 10.1371/journal.pone.0104782 | ISI #: | 000341230400083 | Rights: | © 2014 Staelens et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2015 |
Appears in Collections: | Research publications |
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