Effects of intra-abdominal hypertension on maternal-fetal outcomes in term pregnant women: A systematic review
To carry out a systematic review to assess the effects of intra-abdominal hypertension on maternal-fetal outcomes. The search was carried out between 28th June to 4th July 2022 on the Biblioteca Virtual em Saúde, Pubmed, Embase, Web of Science, and Cochrane databases. The study was registered in PRO...
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| Veröffentlicht in: | PloS one 2023-06, Vol.18 (6), p.e0280869-e0280869 |
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| creator | Arruda Correia, Maria Luisa Peixoto Filho, Fernando Maia Gomes Júnior, Saint Clair Peixoto, Maria Virginia Marques |
| description | To carry out a systematic review to assess the effects of intra-abdominal hypertension on maternal-fetal outcomes.
The search was carried out between 28th June to 4th July 2022 on the Biblioteca Virtual em Saúde, Pubmed, Embase, Web of Science, and Cochrane databases. The study was registered in PROSPERO (CRD42020206526). The systematic review was performed according to the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. To assess the methodological quality and control the risk of bias, New Castle was used.
A total of 6203 articles were found. Of these, 5 met the selection criteria for a full reading. The selected studies included a total of 271 pregnant women, of which 242 underwent elective cesarean section and measurement of intra-abdominal pressure via a bladder catheter. In both pregnant women groups, the lowest intra-abdominal pressure values were found in the supine position with left lateral tilt. Prepartum values in normotensive women with singleton pregnancy (7.3±1.3 to 14.1 ± 1 mmHg) were lower than in gestational hypertensive disorders (12.0±3.3 to 18.3±2.6 mmHg). In postpartum, the values decreased in both groups but were even lower in normotensive women (3.7±0.8 to 9.9 ± 2.6 mmHg vs 8.5 ± 3.6 to 13.6 ± 3.3 mmHg). The same was true for twin pregnancies. The Sequential Organ Failure Assessment index ranged from 0.6 (0.5) to 0.9 (0.7) in both groups of pregnant women. The placental malondialdehyde levels were statistically (p < 0.05) higher in pregnant women with pre-eclampsia (2.52±1.05) than normotensive (1.42±0.54).
Prepartum intra-abdominal pressure values in normotensive women were close or equal to intra-abdominal hypertension and compatible with gestational hypertensive disorders even in the postpartum period. IAP values were consistently lower in supine position with lateral tilt in both groups. Significant correlations were found between prematurity, low birth weight, pregnant women with hypertensive disorders, and increased intra-abdominal pressure. However, there was no significant association of dysfunction in any system in the relationship between intra-abdominal pressure and Sequential Organ Failure Assessment. Despite the higher malondialdehyde values in pregnant women with pre-eclampsia, the findings were inconclusive. Given the observed data on maternal and fetal outcomes, it would be recommended that intra-abdominal pressure measurements be standardized and used as a d |
| doi_str_mv | 10.1371/journal.pone.0280869 |
| format | Article |
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The search was carried out between 28th June to 4th July 2022 on the Biblioteca Virtual em Saúde, Pubmed, Embase, Web of Science, and Cochrane databases. The study was registered in PROSPERO (CRD42020206526). The systematic review was performed according to the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. To assess the methodological quality and control the risk of bias, New Castle was used.
A total of 6203 articles were found. Of these, 5 met the selection criteria for a full reading. The selected studies included a total of 271 pregnant women, of which 242 underwent elective cesarean section and measurement of intra-abdominal pressure via a bladder catheter. In both pregnant women groups, the lowest intra-abdominal pressure values were found in the supine position with left lateral tilt. Prepartum values in normotensive women with singleton pregnancy (7.3±1.3 to 14.1 ± 1 mmHg) were lower than in gestational hypertensive disorders (12.0±3.3 to 18.3±2.6 mmHg). In postpartum, the values decreased in both groups but were even lower in normotensive women (3.7±0.8 to 9.9 ± 2.6 mmHg vs 8.5 ± 3.6 to 13.6 ± 3.3 mmHg). The same was true for twin pregnancies. The Sequential Organ Failure Assessment index ranged from 0.6 (0.5) to 0.9 (0.7) in both groups of pregnant women. The placental malondialdehyde levels were statistically (p < 0.05) higher in pregnant women with pre-eclampsia (2.52±1.05) than normotensive (1.42±0.54).
Prepartum intra-abdominal pressure values in normotensive women were close or equal to intra-abdominal hypertension and compatible with gestational hypertensive disorders even in the postpartum period. IAP values were consistently lower in supine position with lateral tilt in both groups. Significant correlations were found between prematurity, low birth weight, pregnant women with hypertensive disorders, and increased intra-abdominal pressure. However, there was no significant association of dysfunction in any system in the relationship between intra-abdominal pressure and Sequential Organ Failure Assessment. Despite the higher malondialdehyde values in pregnant women with pre-eclampsia, the findings were inconclusive. Given the observed data on maternal and fetal outcomes, it would be recommended that intra-abdominal pressure measurements be standardized and used as a diagnostic tool during pregnancy.
PROSPERO registration: October 9th, 2020, CRD42020206526.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0280869</identifier><identifier>PMID: 37368887</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Abdomen ; Analysis ; Bias ; Biology and Life Sciences ; Birth weight ; Bladder ; Care and treatment ; Catheters ; Cesarean Section ; Compartment syndrome ; Complications and side effects ; Disorders ; Female ; Fetuses ; Health aspects ; Health risks ; Humans ; Hypertension ; Hypertension in pregnancy ; Hypertension, Pregnancy-Induced ; Intra-Abdominal Hypertension ; Literature reviews ; Low birth weight ; Malondialdehyde ; Maternal-fetal exchange ; Medical instruments ; Medicine and Health Sciences ; Obesity ; Placenta ; Postpartum ; Pre-Eclampsia ; Preeclampsia ; Pregnancy ; Pregnancy complications ; Pregnant Women ; Pressure measurement ; Prevention ; Quality assessment ; Research and Analysis Methods ; Reviews ; Risk factors ; Risk management ; Sepsis ; Supine position ; Systematic review</subject><ispartof>PloS one, 2023-06, Vol.18 (6), p.e0280869-e0280869</ispartof><rights>Copyright: © 2023 Arruda Correia et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Arruda Correia et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Arruda Correia et al 2023 Arruda Correia et al</rights><rights>2023 Arruda Correia et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c763t-e1e041aaea0786db34fefdf1d2ec0381a6965f4c93da0b89c193c2b34f7937fb3</citedby><cites>FETCH-LOGICAL-c763t-e1e041aaea0786db34fefdf1d2ec0381a6965f4c93da0b89c193c2b34f7937fb3</cites><orcidid>0000-0003-3448-9505 ; 0000-0003-3621-5866</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10298774/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10298774/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37368887$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Shazly, Sherif A.</contributor><creatorcontrib>Arruda Correia, Maria Luisa</creatorcontrib><creatorcontrib>Peixoto Filho, Fernando Maia</creatorcontrib><creatorcontrib>Gomes Júnior, Saint Clair</creatorcontrib><creatorcontrib>Peixoto, Maria Virginia Marques</creatorcontrib><title>Effects of intra-abdominal hypertension on maternal-fetal outcomes in term pregnant women: A systematic review</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>To carry out a systematic review to assess the effects of intra-abdominal hypertension on maternal-fetal outcomes.
The search was carried out between 28th June to 4th July 2022 on the Biblioteca Virtual em Saúde, Pubmed, Embase, Web of Science, and Cochrane databases. The study was registered in PROSPERO (CRD42020206526). The systematic review was performed according to the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. To assess the methodological quality and control the risk of bias, New Castle was used.
A total of 6203 articles were found. Of these, 5 met the selection criteria for a full reading. The selected studies included a total of 271 pregnant women, of which 242 underwent elective cesarean section and measurement of intra-abdominal pressure via a bladder catheter. In both pregnant women groups, the lowest intra-abdominal pressure values were found in the supine position with left lateral tilt. Prepartum values in normotensive women with singleton pregnancy (7.3±1.3 to 14.1 ± 1 mmHg) were lower than in gestational hypertensive disorders (12.0±3.3 to 18.3±2.6 mmHg). In postpartum, the values decreased in both groups but were even lower in normotensive women (3.7±0.8 to 9.9 ± 2.6 mmHg vs 8.5 ± 3.6 to 13.6 ± 3.3 mmHg). The same was true for twin pregnancies. The Sequential Organ Failure Assessment index ranged from 0.6 (0.5) to 0.9 (0.7) in both groups of pregnant women. The placental malondialdehyde levels were statistically (p < 0.05) higher in pregnant women with pre-eclampsia (2.52±1.05) than normotensive (1.42±0.54).
Prepartum intra-abdominal pressure values in normotensive women were close or equal to intra-abdominal hypertension and compatible with gestational hypertensive disorders even in the postpartum period. IAP values were consistently lower in supine position with lateral tilt in both groups. Significant correlations were found between prematurity, low birth weight, pregnant women with hypertensive disorders, and increased intra-abdominal pressure. However, there was no significant association of dysfunction in any system in the relationship between intra-abdominal pressure and Sequential Organ Failure Assessment. Despite the higher malondialdehyde values in pregnant women with pre-eclampsia, the findings were inconclusive. Given the observed data on maternal and fetal outcomes, it would be recommended that intra-abdominal pressure measurements be standardized and used as a diagnostic tool during pregnancy.
PROSPERO registration: October 9th, 2020, CRD42020206526.</description><subject>Abdomen</subject><subject>Analysis</subject><subject>Bias</subject><subject>Biology and Life Sciences</subject><subject>Birth weight</subject><subject>Bladder</subject><subject>Care and treatment</subject><subject>Catheters</subject><subject>Cesarean Section</subject><subject>Compartment syndrome</subject><subject>Complications and side effects</subject><subject>Disorders</subject><subject>Female</subject><subject>Fetuses</subject><subject>Health aspects</subject><subject>Health risks</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension in pregnancy</subject><subject>Hypertension, Pregnancy-Induced</subject><subject>Intra-Abdominal Hypertension</subject><subject>Literature reviews</subject><subject>Low birth weight</subject><subject>Malondialdehyde</subject><subject>Maternal-fetal exchange</subject><subject>Medical instruments</subject><subject>Medicine and Health Sciences</subject><subject>Obesity</subject><subject>Placenta</subject><subject>Postpartum</subject><subject>Pre-Eclampsia</subject><subject>Preeclampsia</subject><subject>Pregnancy</subject><subject>Pregnancy complications</subject><subject>Pregnant Women</subject><subject>Pressure measurement</subject><subject>Prevention</subject><subject>Quality assessment</subject><subject>Research and Analysis Methods</subject><subject>Reviews</subject><subject>Risk factors</subject><subject>Risk management</subject><subject>Sepsis</subject><subject>Supine position</subject><subject>Systematic 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one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arruda Correia, Maria Luisa</au><au>Peixoto Filho, Fernando Maia</au><au>Gomes Júnior, Saint Clair</au><au>Peixoto, Maria Virginia Marques</au><au>Shazly, Sherif A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of intra-abdominal hypertension on maternal-fetal outcomes in term pregnant women: A systematic review</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-06-27</date><risdate>2023</risdate><volume>18</volume><issue>6</issue><spage>e0280869</spage><epage>e0280869</epage><pages>e0280869-e0280869</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>To carry out a systematic review to assess the effects of intra-abdominal hypertension on maternal-fetal outcomes.
The search was carried out between 28th June to 4th July 2022 on the Biblioteca Virtual em Saúde, Pubmed, Embase, Web of Science, and Cochrane databases. The study was registered in PROSPERO (CRD42020206526). The systematic review was performed according to the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. To assess the methodological quality and control the risk of bias, New Castle was used.
A total of 6203 articles were found. Of these, 5 met the selection criteria for a full reading. The selected studies included a total of 271 pregnant women, of which 242 underwent elective cesarean section and measurement of intra-abdominal pressure via a bladder catheter. In both pregnant women groups, the lowest intra-abdominal pressure values were found in the supine position with left lateral tilt. Prepartum values in normotensive women with singleton pregnancy (7.3±1.3 to 14.1 ± 1 mmHg) were lower than in gestational hypertensive disorders (12.0±3.3 to 18.3±2.6 mmHg). In postpartum, the values decreased in both groups but were even lower in normotensive women (3.7±0.8 to 9.9 ± 2.6 mmHg vs 8.5 ± 3.6 to 13.6 ± 3.3 mmHg). The same was true for twin pregnancies. The Sequential Organ Failure Assessment index ranged from 0.6 (0.5) to 0.9 (0.7) in both groups of pregnant women. The placental malondialdehyde levels were statistically (p < 0.05) higher in pregnant women with pre-eclampsia (2.52±1.05) than normotensive (1.42±0.54).
Prepartum intra-abdominal pressure values in normotensive women were close or equal to intra-abdominal hypertension and compatible with gestational hypertensive disorders even in the postpartum period. IAP values were consistently lower in supine position with lateral tilt in both groups. Significant correlations were found between prematurity, low birth weight, pregnant women with hypertensive disorders, and increased intra-abdominal pressure. However, there was no significant association of dysfunction in any system in the relationship between intra-abdominal pressure and Sequential Organ Failure Assessment. Despite the higher malondialdehyde values in pregnant women with pre-eclampsia, the findings were inconclusive. Given the observed data on maternal and fetal outcomes, it would be recommended that intra-abdominal pressure measurements be standardized and used as a diagnostic tool during pregnancy.
PROSPERO registration: October 9th, 2020, CRD42020206526.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>37368887</pmid><doi>10.1371/journal.pone.0280869</doi><tpages>e0280869</tpages><orcidid>https://orcid.org/0000-0003-3448-9505</orcidid><orcidid>https://orcid.org/0000-0003-3621-5866</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2023-06, Vol.18 (6), p.e0280869-e0280869 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2830185140 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Abdomen Analysis Bias Biology and Life Sciences Birth weight Bladder Care and treatment Catheters Cesarean Section Compartment syndrome Complications and side effects Disorders Female Fetuses Health aspects Health risks Humans Hypertension Hypertension in pregnancy Hypertension, Pregnancy-Induced Intra-Abdominal Hypertension Literature reviews Low birth weight Malondialdehyde Maternal-fetal exchange Medical instruments Medicine and Health Sciences Obesity Placenta Postpartum Pre-Eclampsia Preeclampsia Pregnancy Pregnancy complications Pregnant Women Pressure measurement Prevention Quality assessment Research and Analysis Methods Reviews Risk factors Risk management Sepsis Supine position Systematic review |
| title | Effects of intra-abdominal hypertension on maternal-fetal outcomes in term pregnant women: A systematic review |
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