Abdominal decompression

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Abdominal decompression is an obstetric procedure during which a negative pressure is applied intermittently to a pregnant woman's abdomen. [1]

Contents

Efficacy

No benefits of abdominal decompression have been found in healthy pregnant women. Abdominal decompression has no effect on blood pressure of the mother. It also has no effect on the newborn baby's condition and subsequent intellectual development. [1] Its effects on pre-eclampsia, low birthweight and fetal distress during labour are unclear. [2]

Technique

Abdominal decompression consists of placing a rigid covered dome around the abdomen, with the inside being decompressed to -50 to -100 mmHg for 15 to 30 seconds out of each minute for 30 minutes, one to three times daily, or continuously during labour. [2] Abdominal decompression has been known to treat abdominal compartment syndrome (ACS) helping patients who have intra-abdominal pressure (IAP) and organ dysfunction. [3]

See also

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Necrotizing enterocolitis (NEC) is a devastating intestinal disease that affects premature or very low birth weight infants. Symptoms may include poor feeding, bloating, decreased activity, blood in the stool, vomiting of bile, bowel death, multiorgan failure, and even death.

Uterine atony Loss of tone in the uterine musculature

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Postpartum bleeding Loss of blood following childbirth

Postpartum bleeding or postpartum hemorrhage (PPH) is often defined as the loss of more than 500 ml or 1,000 ml of blood within the first 24 hours following childbirth. Some have added the requirement that there also be signs or symptoms of low blood volume for the condition to exist. Signs and symptoms may initially include: an increased heart rate, feeling faint upon standing, and an increased breathing rate. As more blood is lost, the patient may feel cold, blood pressure may drop, and they may become restless or unconscious. The condition can occur up to six weeks following delivery.

Abdominal ultrasonography

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Vibroacoustic stimulation (VAS), sometimes referred to as fetal vibroacoustic stimulation or fetal acoustic stimulation test (FAST), is the application of a vibratory sound stimulus to the abdomen of a pregnant woman to induce FHR accelerations. The presence of FHR accelerations reliably predicts the absence of fetal metabolic acidemia. Vibroacoustic stimulation is typically used during a nonstress test (NST).

Signs and symptoms of pregnancy are common, benign conditions that result from the changes to the body that occur during pregnancy. Signs and symptoms of pregnancy typically change as pregnancy progresses, although several symptoms may be present throughout. Depending on severity, common symptoms in pregnancy can develop into complications). Pregnancy symptoms may be categorized based on trimester as well as region of the body affected.

Hypertensive disease of pregnancy, also known as maternal hypertensive disorder, is a group of high blood pressure disorders that include preeclampsia, preeclampsia superimposed on chronic hypertension, gestational hypertension, and chronic hypertension.

References

  1. 1 2 Hofmeyr, GJ; Kulier, R (13 June 2012). "Abdominal decompression in normal pregnancy". The Cochrane Database of Systematic Reviews (6): CD001062. doi:10.1002/14651858.CD001062.pub2. PMC   7050618 . PMID   22696321.
  2. 1 2 Hofmeyr, GJ (13 June 2012). "Abdominal decompression for suspected fetal compromise/pre-eclampsia". The Cochrane Database of Systematic Reviews (6): CD000004. doi:10.1002/14651858.CD000004.pub2. PMC   7061357 . PMID   22696313.
  3. De Waele, J; Desender, L; De Laet, I; Ceelen, W; Pattyn, P; Hoste, E (2010). "Abdominal decompression for abdominal compartment syndrome in critically ill patients: a retrospective study". Acta Clinica Belgica. 65 (6): 399–403. doi:10.1179/acb.2010.65.6.005. PMID   21268953. S2CID   6501463.