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Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...

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Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs
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Abdominal decompression for suspected fetal compromise/pre-eclampsia.

G Justus Hofmeyr1

  • 1Department of Obstetrics and Gynaecology, East London Hospital Complex, University of the Witwatersrand, University of FortHare, Eastern Cape Department of Health, East London, South Africa. justhof@gmail.com.

The Cochrane Database of Systematic Reviews
|June 15, 2012
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This summary is machine-generated.

Antenatal abdominal decompression may reduce risks for pregnant women with pre-eclampsia or fetal growth issues. Further research is needed due to study limitations, but potential benefits in birthweight and perinatal mortality warrant investigation.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Perinatal Outcomes

Background:

  • Abdominal decompression was initially developed for labor pain relief.
  • It has been explored for pregnancy complications and to enhance fetal well-being.
  • Its application for maternal hypertension and fetal growth impairment is under review.

Purpose of the Study:

  • To evaluate the impact of antenatal abdominal decompression on perinatal outcomes.
  • Specifically assessing its effects in cases of maternal hypertension or compromised fetal growth.

Main Methods:

  • A systematic review of randomized or quasi-randomized trials.
  • Searched the Cochrane Pregnancy and Childbirth Group's Trials Register.
  • Included studies comparing abdominal decompression with no intervention in high-risk pregnancies.

Main Results:

  • Three studies were included, noted for potential bias.
  • Abdominal decompression showed reductions in persistent pre-eclampsia, fetal distress, and low birthweight.
  • Associated with improved Apgar scores and decreased perinatal mortality.

Conclusions:

  • Methodological limitations obscure the definitive effects of abdominal decompression.
  • Observed improvements in birthweight and perinatal mortality suggest further research is warranted.
  • Potential benefits for pre-eclampsia and impaired fetal growth require additional investigation.