Abdominal Decompression in the First Stage of Labour

Heyns, O. S.

doi:10.1111/j.1471-0528.1959.tb02001.x

Cited by 31 publications

(4 citation statements)

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“…In addition, the rhythmic working of the decompression induces Braxton-Hicks contractions continuing some hours after the end of treatment. All together should improve the oxygen and carbon dioxide exchange as well as the placental function [8,9] subse quently influencing the fetal cardiac frequency observed in labour [12], This fact was confirmed by short-time improvements of antenatal CTG patterns observed in our study, i.e. within 4 h after AD, which, additionally, corre sponded with intensified fetal movements felt by the pregnant women for about 6 h.…”

Section: Discussionsupporting

confidence: 70%

“…There is still a lack of proved methods to meliorate a poor placental function. One possibility represents the abdomi nal decompression (AD), firstly published by Hey ns [8][9][10] and Heyns et al [9], originally introduced for application in labour for pain relief [8] and afterwards in late pregnancy to prevent onset of EPH gestosis [1,2], In a pilot study [17,18] comprising 22 patients presenting with placental insuf ficiency we observed an elevation of unconjugated oestriol (E3) and human placental lactogen (HPL), both in serum, within several hours after AD treatment as compared with a control group, and furthermore placenta per fusion measurements by radioisotopes had meliorated significantly after 1 week of treatment. These results have encouraged us to apply AD repeatedly for a duration of several weeks in cases suspected as having chronic placen tal insufficiency.…”

Section: Introductionmentioning

confidence: 99%

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Abdominal Decompression

Pavelka¹,

Salzer²

1981

Gynecol Obstet Invest

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The effects of abdominal decompression applied over a period of several weeks (mean 4 weeks) in late pregnancy on biochemical and haemodynamic parameters as well as on fetal growth and cardiotocogram patterns were studied in a group of 64 pregnant women with identified placental insufficiency. A statistically significant improvement was demonstrated in the following findings after treatment: placental perfusion measurements ,^113mIn and unconjugated oestriol and human placental lactogen, both in serum. A positive influence on antepartum cardiotocogram was observed only immediately after therapy. An acceleration of fetal growth (biparietal diameter) could not be demonstrated. Frequency and severity of EPH gestosis did not change after abdominal decompression. Abdominal decompression seems to be a valuable aid in the still unsatisfactory treatment of placental insufficiency.

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Section: Discussionsupporting

confidence: 70%

Section: Introductionmentioning

confidence: 99%

Abdominal Decompression

Pavelka¹,

Salzer²

1981

Gynecol Obstet Invest

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“…The procedure of negative extra-abdominal pressure (NEXAP) is one of the future promising options for non-invasive treatment of IAH/ACS [13,14]. Scientific studies on the physiological effects of localized decompression began in 1959 with a method for abdominal decompression anticipated by Неуns OS [15]. The device was a sealed chamber superimposed on the patient's abdomen and a vacuum pump for the local depositing.…”

Section: Journal Of Gynecology and Women's Healthmentioning

confidence: 99%