Management of peripartum intra-abdominal hypertension and abdominal compartment syndrome

Abstract

Normal pregnancy leads to a state of chronically increased intra-abdominal pressure. Obstetric and non-obstetric conditions may increase intra-abdominal pressure further, causing intra-abdominal hypertension and abdominal compartment syndrome, which leads to maternal organ dysfunction and a compromised fetal state. Limited medical literature exists to guide treatment of pregnant women with these conditions. In this state-of-the-art review, we propose a diagnostic and treatment algorithm for the management of peripartum intra-abdominal hypertension and abdominal compartment syndrome, informed by newly available studies.

Keywords: abdominal compartment syndrome; critical care; intra-abdominal hypertension; intra-abdominal pressure; obstetrics; peripartum; pregnancy.