CONCEPT, DEFINITION AND CLASSIFICATION OF THE INTRAABOMINAL HYPERTENSIA IN PREGNANCY
Keywords:
intra-abdominal hypertension, pregnancy, concept, definition, classificationAbstract
The mention of intraabdominal hypertension (IAH) in pregnancy is quite often seen in the medical literature. Studies about the relationship of the original chronic IAH in pregnancy and obstetrics, perinatal complications are of particular interest. However, there are insufficient data on the IAH clinical evaluation, its practical importance in the course and outcome of pregnancy, predictive value in obstetrics textbooks, practical guidelines and recommendations. According to the value of IAH under critical conditions can be suggested its pathogenetic role in the development of obstetric pathology. It should be noted that in the literature IAH determination has some differences that can generate unclear definition by clinicians about the process under the study. The exact level of intraabdominal pressure (IAP) in obstetrics, which is characterized as IAH is still a matter of debate. In the present study it was concluded that it is wrong to allocate only IAP level as the only parameter characterizing IAH. The article focuses on the methodological aspects of IAH in pregnancy. Formal and logical analysis of the conceptual apparatus, the existing classifications of IAH were held, our own definition and classification were offered. We made an attempt to formulate the concept of IAH in obstetrics in terms of understanding it as a system, which may be in condition of compensationdecompensation.
References
Normative postpartum intraabdominal pressure: potential implications in the diagnosis of abdominal compartment syndrome / S. S. Abdel-Razeq, K. Campbell, E. F. Funai [et al.] // Am. J. Obstet. Gynecol. – 2010. – Vol. 203 (2). – P. 149.
Measurement of Intra-abdominal Pressure in Pregnant Women at Term / A. Al-Khan, M. Shah, M. Altabban [et al.] // J. Reprod. Med. – 2011. – Vol. 56 (1/2). – P. 53–57.
Continuous intra-abdominal pressure measurement technique / Z. Balogh, F. Jones, S. D’Amours [et al.] // Am. J. Surg. – 2004. – Vol. 188. – P. 679–684.
The abdominal compartment syndrome / J. M. Burch, E. E. Moore, F. A. Moore, R. Franciose // Surg. Clin. North. Am. – 1996. – Vol. 76. – P. 833–842.
Cheatham M. L. Abdominal perfusion pressure: a superior parameter in the assessment of intra-abdominal hypertension / M. L. Cheatham, M. W. White, S. G. Sagraves // J. Trauma. – 2000. – Vol. 49. – P. 621–626.
Morbid obesity causes chronic increase of intra-abdominal pressure / E. E. Frezza, K. O. Shebani, J. Robertson, M. S. Wachtel // Dig. Dis. Sci. – 2007. – P. 52 (4). – P. 1038–1041.
Gur’janov V. A. Intensive care of pregnant women with arterial and abdominal hypertension / V. A. Gur’janov, G. N. Tolmachev, A. V. Volodin // Novosti anesteziologii i reanimatologii. – 2009. – Vol. 1. – P. 28–32 (in Russian).
Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome / M. L. Malbrain, M. L. Cheatham, A. Kirkpatrick, M. Sugrue // Intensive Care Med. – 2006. – Vol. 32. – P. 1722–1732.
Marshalov D. V. The role of chronic abdominal hypertension in obstetric pathology / D. V. Marshalov, A. P. Petrenko // III Vseros. obrazov. kongress “Anestezija i reanimacija v akusherstve i neonatologii” : Mat. kongres. – M., 2010. – P. 70–72 (in Russian).
Choice of anesthesia surgical delivery, depending on the severity of intra-abdominal hypertension / D. V. Marshalov, E. M. Shifman, I. A. Salov, A. P. Petrenko // Mat. XII ses. MNOAR. – M., 2012. – Vol. 27 (in Russian).
The dependence of the dynamics of post-surgical intra-abdominal pressure in postpartum women with obesity on the method of anesthesia / D. V. Marshalov, E. M. Shifman, I. A. Salov, A. P. Petrenko // Mat. XII ses. MNOAR. – M., 2012. – Vol. 23 (in Russian).
Sugrue M. Intra-abdominal hypertension and intensive care / M. Sugrue, K. M. Hilman // Yearbook of intensive care and emergency medicine ; ed. by J. L. Vincent. – Berlin : Springer-Verlag, 1998.
Toh C. H. SCC on Disseminated Intravascular Coagulation of the ISTH. The scoring system of the Scientific and Standardisation Committee on Disseminated Intravascular Coagulation of the International Society on thrombosis and haemostasis: a 5-year overview / C. H. Toh, W. K. Hoots // J. Thromb. Haemost. – 2007. – Vol. 5. – P. 604–606.
Vasilenko V. H. Propedevtika vnutrennih boleznej / V. H. Vasilenko, A. L. Grebeneva, N. D. Mihajlova. – M. : Medicina, 1974 (in Russian).
Vojshvillo E. K. Logic / E. K. Vojshvillo, M. G. Degtjarev. – M. : Vlados-Press, 2001 (in Russian).