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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| Published in: | PloS one Vol. 18; no. 6; p. e0280869 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
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27-06-2023
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| 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. |
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| AbstractList | Objective
To carry out a systematic review to assess the effects of intra-abdominal hypertension on maternal-fetal outcomes.
Methods
The search was carried out between 28 th June to 4 th 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.
Results
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).
Conclusions
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.
Trial registration
PROSPERO registration: October 9th, 2020, CRD42020206526. OBJECTIVETo carry out a systematic review to assess the effects of intra-abdominal hypertension on maternal-fetal outcomes. METHODSThe 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. RESULTSA 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). CONCLUSIONSPrepartum 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. TRIAL REGISTRATIONPROSPERO registration: October 9th, 2020, CRD42020206526. Objective To carry out a systematic review to assess the effects of intra-abdominal hypertension on maternal-fetal outcomes. Methods The search was carried out between 28.sup.th June to 4.sup.th 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. Results 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). Conclusions 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. Trial registration PROSPERO registration: October 9th, 2020, CRD42020206526. Objective To carry out a systematic review to assess the effects of intra-abdominal hypertension on maternal-fetal outcomes. Methods 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. Results 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). Conclusions 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. Trial registration PROSPERO registration: October 9th, 2020, CRD42020206526. To carry out a systematic review to assess the effects of intra-abdominal hypertension on maternal-fetal outcomes. The search was carried out between 28.sup.th June to 4.sup.th 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. 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. |
| Audience | Academic |
| Author | Gomes Júnior, Saint Clair Arruda Correia, Maria Luisa Peixoto Filho, Fernando Maia Peixoto, Maria Virginia Marques |
| AuthorAffiliation | 3 Department of Clinical Research, Researcher at IFF/Fiocruz, Rio de Janeiro, Brazil 2 Department of Fetal Medicine, Researcher at IFF/Fiocruz, Rio de Janeiro, Brazil Mayo Clinic Minnesota, UNITED STATES 1 Department of Applied Research in Women’s Health at IFF/Fiocruz, Rio de Janeiro, Brazil |
| AuthorAffiliation_xml | – name: Mayo Clinic Minnesota, UNITED STATES – name: 3 Department of Clinical Research, Researcher at IFF/Fiocruz, Rio de Janeiro, Brazil – name: 1 Department of Applied Research in Women’s Health at IFF/Fiocruz, Rio de Janeiro, Brazil – name: 2 Department of Fetal Medicine, Researcher at IFF/Fiocruz, Rio de Janeiro, Brazil |
| Author_xml | – sequence: 1 givenname: Maria Luisa orcidid: 0000-0003-3621-5866 surname: Arruda Correia fullname: Arruda Correia, Maria Luisa organization: Department of Applied Research in Women's Health at IFF/Fiocruz, Rio de Janeiro, Brazil – sequence: 2 givenname: Fernando Maia surname: Peixoto Filho fullname: Peixoto Filho, Fernando Maia organization: Department of Fetal Medicine, Researcher at IFF/Fiocruz, Rio de Janeiro, Brazil – sequence: 3 givenname: Saint Clair surname: Gomes Júnior fullname: Gomes Júnior, Saint Clair organization: Department of Clinical Research, Researcher at IFF/Fiocruz, Rio de Janeiro, Brazil – sequence: 4 givenname: Maria Virginia Marques orcidid: 0000-0003-3448-9505 surname: Peixoto fullname: Peixoto, Maria Virginia Marques organization: Department of Clinical Research, Researcher at IFF/Fiocruz, Rio de Janeiro, Brazil |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37368887$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1371_journal_pone_0284230 |
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| ContentType | Journal Article |
| Copyright | 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. COPYRIGHT 2023 Public Library of Science 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. 2023 Arruda Correia et al 2023 Arruda Correia et al 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. |
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| DOI | 10.1371/journal.pone.0280869 |
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| DocumentTitleAlternate | Effects of intra-abdominal hypertension on maternal-fetal outcomes: A systematic review |
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| References | MA Ünsal (pone.0280869.ref027) 2017; 23 GA Popescu (pone.0280869.ref038) 2018; 4 AW Kirkpatrick (pone.0280869.ref020) 2017; 49 A Tyagi (pone.0280869.ref040) 2017; 32 The American College of obstetricians and Gynecologists (pone.0280869.ref021) 2020 IE De Laet (pone.0280869.ref003) 2020; 24 MJ Lozada (pone.0280869.ref006) 2019; 98 The American College of obstetricians and Gynecologists (pone.0280869.ref041) 2019; VOL. 133 A.W Kirkpatrick (pone.0280869.ref031) 2013; 39 S Lambden (pone.0280869.ref022) 2019; 23 ASE Staelens (pone.0280869.ref016) 2014; 9 pone.0280869.ref035 pone.0280869.ref034 DJ Sawchuck (pone.0280869.ref036) 2014; 83 pone.0280869.ref019 IL Kron (pone.0280869.ref033) 1984; 199 R Chun (pone.0280869.ref004) 2012; 2 DV Marshalov (pone.0280869.ref010) 2016; 97 L Sun (pone.0280869.ref039) 2015; 15 MLNG Malbrain (pone.0280869.ref007) 2009; 30 W. Gyselaers (pone.0280869.ref014) 2022; 226 A. Saber (pone.0280869.ref008) 2014; 3 A Blaser (pone.0280869.ref009) 2015; 78 K Narang (pone.0280869.ref030) 2022; 0 M Singer (pone.0280869.ref023) 2016; 315 R Chun (pone.0280869.ref015) 2012; 21 V Arora (pone.0280869.ref028) 2020; 99 A Al-Khan (pone.0280869.ref017) 2011; 56 ML Cheatham (pone.0280869.ref032) 2007; 33 D Garg (pone.0280869.ref029) 2020; 100 MC Armas-Padilla (pone.0280869.ref024) 2007; 14 F Fuchs (pone.0280869.ref018) 2013; 8 pone.0280869.ref025 SS Abdel-Razeq (pone.0280869.ref026) 2010; 203 MLNG Malbrain (pone.0280869.ref001) 2016; 20 AP Petrenko (pone.0280869.ref002) 2020 W Gyselaers (pone.0280869.ref012) 2019; 597 D Marshalov (pone.0280869.ref011) 2017; 2 M Malbrain (pone.0280869.ref005) 2015 W Gyselaers (pone.0280869.ref013) 2020; 99 HJ Sugerman (pone.0280869.ref037) 2011 |
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| Snippet | 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... Objective To carry out a systematic review to assess the effects of intra-abdominal hypertension on maternal-fetal outcomes. Methods The search was carried out... To carry out a systematic review to assess the effects of intra-abdominal hypertension on maternal-fetal outcomes. The search was carried out between 28.sup.th... OBJECTIVETo carry out a systematic review to assess the effects of intra-abdominal hypertension on maternal-fetal outcomes. METHODSThe search was carried out... Objective To carry out a systematic review to assess the effects of intra-abdominal hypertension on maternal-fetal outcomes. Methods The search was carried out... |
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| SubjectTerms | 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 |
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| Title | Effects of intra-abdominal hypertension on maternal-fetal outcomes in term pregnant women: A systematic review |
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