Monitoring intra-abdominal pressure for early detection of preeclampsia among pregnant women

Howieda Fouly; Heba Mohamed; Mohamed Fathalla

doi:10.53730/ijhs.v6nS8.14071

Authors

Howieda Fouly
hoida.elfouly2@aun.edu.eg
Assistant professor of Maternity, Obstetrical and Gynecological Nursing, Faculty of Nursing, Assiut University Egypt
Heba Mohamed Assistant professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Assiut University
Mohamed Fathalla Professor of Obstetrics & Gynecology, Faculty of medicine, Assiut University

Keywords:

preeclampsia, intra-abdominal pressure, early detection nursing role, complication

Abstract

Background: Elevated intra-abdominal pressure (IAP) is commonly present in critically ill patients. Where the trigger mechanism of preeclampsia is related to increase abdominal hypertension. Aim: Monitoring the intra-abdominal pressure for early detection of preeclampsia among pregnant women. Design: A quasi-experiment clinical practice research. Methods: a sample of 60 pregnant women divided into an intervention group included a total of 30 patients diagnosed with preeclampsia and 30 normotensives as a control group. Setting: The study conducted at obstetric ICU and emergency unit, woman's Health Hospital, Upper Egypt. Results: There is a statistically significant difference between intra-abdominal pressure and preeclampsia and its clinical feature. The risk factors' effects on intra-abdominal pressure, such as age and gravidity, have no statistically significant relationship. Conclusions: The study confirms that the range of intra-abdominal pressure in the preeclamptic group significantly higher than the normotensive group, and there is a positive correlation between elevated IAP and preeclamptic complications. Relevance to clinical practice: Applied continuous nursing monitoring of intra-abdominal pressure for all critical patients in the obstetric field is an essential part of nursing care to avoid abdominal compartment syndrome and organ complications.

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