Measurement of intraabdominal pressure in pregnant women at term

J Reprod Med. 2011 Jan-Feb;56(1-2):53-7.

Abstract

Objective: To determine the baseline intraabdominal pressure (IAP) in pregnant women at term.

Study design: Pregnant women at term undergoing scheduled cesarean delivery in the absence of labor had IAP measured via an intravesical catheter. Abdominal pressures were obtained in the dorsal supine position with a leftward tilt after the placement of spinal anesthesia. Measurements were taken immediately before and after cesarean delivery.

Results: One hundred subjects were included in this Institutional Research Board-approved study. The median preoperative IAP measurement was 22 mm Hg, and the median postoperative IAP measurement was 16 mm Hg. The decrease in the IAP from the preoperative to the postoperative measurement was statistically significant (p < 0.0001).

Conclusion: The median IAP measurement for pregnant patients at term is 22 mm Hg and is followed by a statistically significant decline after delivery.

Publication types

  • Comparative Study

MeSH terms

  • Abdomen*
  • Adult
  • Birth Weight
  • Body Mass Index
  • Cesarean Section
  • Female
  • Gestational Age*
  • Humans
  • Hypertension / diagnosis
  • Middle Aged
  • Postoperative Period
  • Pregnancy
  • Pregnancy Trimester, Third
  • Preoperative Period
  • Pressure*
  • Prospective Studies
  • Reference Values
  • Supination