Changes in Intra-Amniotic, Fetal Intrathoracic, and Intraperitoneal Pressures with Uterine Contraction: A Report of Three Cases

Intra-amniotic, fetal intrathoracic, and intraperitoneal pressures during pregnancy have been previously investigated. However, to our knowledge, changes in these pressures during uterine contractions have not been reported. Herein, we present three cases of polyhydramnios, fetal pleural effusion, a...

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Main Authors: Daisuke Katsura, Yuichiro Takahashi, Shigenori Iwagaki, Rika Chiaki, Kazuhiko Asai, Masako Koike, Shunsuke Yasumi, Madoka Furuhashi
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2018/4281528
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author Daisuke Katsura
Yuichiro Takahashi
Shigenori Iwagaki
Rika Chiaki
Kazuhiko Asai
Masako Koike
Shunsuke Yasumi
Madoka Furuhashi
author_facet Daisuke Katsura
Yuichiro Takahashi
Shigenori Iwagaki
Rika Chiaki
Kazuhiko Asai
Masako Koike
Shunsuke Yasumi
Madoka Furuhashi
author_sort Daisuke Katsura
collection DOAJ
description Intra-amniotic, fetal intrathoracic, and intraperitoneal pressures during pregnancy have been previously investigated. However, to our knowledge, changes in these pressures during uterine contractions have not been reported. Herein, we present three cases of polyhydramnios, fetal pleural effusion, and fetal ascites, in which intra-amniotic, fetal intrathoracic, intraperitoneal pressures increased with uterine contractions. These pressure increases may affect the fetal circulation. We suggest that managing potential premature delivery (e.g., with tocolysis) is important in cases with polyhydramnios and excess fluid in fetal body areas, such as the thorax, abdomen, and heart. The results of this preliminary study on intrafetal pressure measurements will be useful in performing fetal and neonatal surgeries in the future.
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publishDate 2018-01-01
publisher Wiley
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-dd6626b785774fca922621cd9b0e1f412025-02-03T01:31:01ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922018-01-01201810.1155/2018/42815284281528Changes in Intra-Amniotic, Fetal Intrathoracic, and Intraperitoneal Pressures with Uterine Contraction: A Report of Three CasesDaisuke Katsura0Yuichiro Takahashi1Shigenori Iwagaki2Rika Chiaki3Kazuhiko Asai4Masako Koike5Shunsuke Yasumi6Madoka Furuhashi7Department of Fetal-Maternal Medicine, Nagara Medical Centre, 1300-7, Nagara, Gifu 502-8558, JapanDepartment of Fetal-Maternal Medicine, Nagara Medical Centre, 1300-7, Nagara, Gifu 502-8558, JapanDepartment of Fetal-Maternal Medicine, Nagara Medical Centre, 1300-7, Nagara, Gifu 502-8558, JapanDepartment of Fetal-Maternal Medicine, Nagara Medical Centre, 1300-7, Nagara, Gifu 502-8558, JapanDepartment of Fetal-Maternal Medicine, Nagara Medical Centre, 1300-7, Nagara, Gifu 502-8558, JapanDepartment of Fetal-Maternal Medicine, Nagara Medical Centre, 1300-7, Nagara, Gifu 502-8558, JapanDepartment of Fetal-Maternal Medicine, Nagara Medical Centre, 1300-7, Nagara, Gifu 502-8558, JapanDepartment of Fetal-Maternal Medicine, Nagara Medical Centre, 1300-7, Nagara, Gifu 502-8558, JapanIntra-amniotic, fetal intrathoracic, and intraperitoneal pressures during pregnancy have been previously investigated. However, to our knowledge, changes in these pressures during uterine contractions have not been reported. Herein, we present three cases of polyhydramnios, fetal pleural effusion, and fetal ascites, in which intra-amniotic, fetal intrathoracic, intraperitoneal pressures increased with uterine contractions. These pressure increases may affect the fetal circulation. We suggest that managing potential premature delivery (e.g., with tocolysis) is important in cases with polyhydramnios and excess fluid in fetal body areas, such as the thorax, abdomen, and heart. The results of this preliminary study on intrafetal pressure measurements will be useful in performing fetal and neonatal surgeries in the future.http://dx.doi.org/10.1155/2018/4281528
spellingShingle Daisuke Katsura
Yuichiro Takahashi
Shigenori Iwagaki
Rika Chiaki
Kazuhiko Asai
Masako Koike
Shunsuke Yasumi
Madoka Furuhashi
Changes in Intra-Amniotic, Fetal Intrathoracic, and Intraperitoneal Pressures with Uterine Contraction: A Report of Three Cases
Case Reports in Obstetrics and Gynecology
title Changes in Intra-Amniotic, Fetal Intrathoracic, and Intraperitoneal Pressures with Uterine Contraction: A Report of Three Cases
title_full Changes in Intra-Amniotic, Fetal Intrathoracic, and Intraperitoneal Pressures with Uterine Contraction: A Report of Three Cases
title_fullStr Changes in Intra-Amniotic, Fetal Intrathoracic, and Intraperitoneal Pressures with Uterine Contraction: A Report of Three Cases
title_full_unstemmed Changes in Intra-Amniotic, Fetal Intrathoracic, and Intraperitoneal Pressures with Uterine Contraction: A Report of Three Cases
title_short Changes in Intra-Amniotic, Fetal Intrathoracic, and Intraperitoneal Pressures with Uterine Contraction: A Report of Three Cases
title_sort changes in intra amniotic fetal intrathoracic and intraperitoneal pressures with uterine contraction a report of three cases
url http://dx.doi.org/10.1155/2018/4281528
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