2019
DOI: 10.1111/aogs.13638
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Abstract: Normal pregnancy leads to a state of chronically increased intra‐abdominal pressure. Obstetric and non‐obstetric conditions may increase intra‐abdominal pressure further, causing intra‐abdominal hypertension and abdominal compartment syndrome, which leads to maternal organ dysfunction and a compromised fetal state. Limited medical literature exists to guide treatment of pregnant women with these conditions. In this state‐of‐the‐art review, we propose a diagnostic and treatment algorithm for the management of p… Show more

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Cited by 25 publications
(29 citation statements)
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“…During pregnancy, IAP rises due to the growing uterus, fluid status and tissue mass. From the 2nd trimester onward, IAP values are measured within the range of IAH in non-pregnant individuals [4,12,[28][29][30][31]. A pregnant woman seems to cope very well via a process of extraordinary physiologic adaptation.…”
Section: Increase In Iap During Pregnancy Might Induce Venous Congestmentioning
confidence: 99%
See 1 more Smart Citation
“…During pregnancy, IAP rises due to the growing uterus, fluid status and tissue mass. From the 2nd trimester onward, IAP values are measured within the range of IAH in non-pregnant individuals [4,12,[28][29][30][31]. A pregnant woman seems to cope very well via a process of extraordinary physiologic adaptation.…”
Section: Increase In Iap During Pregnancy Might Induce Venous Congestmentioning
confidence: 99%
“…The associated tubular damage can effectuate the proteinuria and effective renal plasma flow [6,8,11]. If the abdominal wall is at maximum distension, compensated IAH may convert to uncompensated abdominal compartment syndrome with disseminated organ failure [12].…”
Section: Introductionmentioning
confidence: 99%
“…The questions raised by Garg & Tyagi illustrate a fundamental challenge related to the limitations and heterogeneity of published original research on intra‐abdominal pressure (IAP) in pregnancy. We sought to coalesce data into clinically meaningful recommendations for the diagnosis and management of intra‐abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) in pregnancy . We defined IAH as pre‐delivery IAP ≥14 mm Hg or postpartum IAP ≥12 mm Hg.…”
Section: Intra‐abdominal Pressure Measurements Of Obstetric Patientsmentioning
confidence: 99%
“…We sought to coalesce data into clinically meaningful recommendations for the diagnosis and management of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) in pregnancy. 2 We defined IAH as pre-delivery IAP ≥14 mm Hg or postpartum IAP ≥12 mm Hg. These cutoffs are supported by Tyagi et al 3 , who performed the only known study of IAP in critically ill obstetric patients.…”
mentioning
confidence: 99%
“…We would like to congratulate Lozada et al for their recently published review on the management of intra-abdominal hypertension/ abdominal compartment syndrome (IAH/ACS) in the obstetric population 1. Although the topic is clearly dealt with at a most appropriate time and has clinical implications, we have certain queries.The authors correctly pointed out that previously published data showing raised intra-abdominal pressure (IAP) in obstetric patients are scanty 1. In non-obstetric patients, IAP is known to differ between healthy, postoperative, and critically ill patients.…”
mentioning
confidence: 99%