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Management of peripartum intra-abdominal hypertension and abdominal compartment syndrome

M James Lozada1, Varun Goyal2, Danielle Levin3

  • 1Division of Obstetric Anesthesiology, Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.

Acta Obstetricia Et Gynecologica Scandinavica
|May 10, 2019
PubMed

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 peripartum intra-abdominal hypertension and abdominal compartment syndrome, informed by newly available studies.

Keywords:
abdominal compartment syndromecritical careintra-abdominal hypertensionintra-abdominal pressureobstetricsperipartumpregnancy

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