Abdominal decompression in normal pregnancy.
BACKGROUND
Abdominal decompression was developed as a means of pain relief during labour. It has also been used for complications of pregnancy, and in healthy pregnant women in an attempt to improve fetal wellbeing and intellectual development.


OBJECTIVE
The objective of this review was to assess the effects of prophylactic abdominal decompression on pregnancy outcomes such as admission for pre-eclampsia, fetal growth, perinatal morbidity and mortality and childhood development.


METHODS
We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (2 February 2012).


METHODS
Randomised trials comparing abdominal decompression with dummy decompression or no treatment in healthy pregnant women.


METHODS
Both review authors assessed eligibility and trial quality.


RESULTS
Three studies were included. There was no difference between the abdominal decompression groups and the control groups for low birthweight (risk ratio (RR) 0.69, 95% confidence interval (CI) 0.27 to 1.77) and perinatal mortality (RR 2.47, 95% CI 0.77 to 7.92). There were no differences in admission for pre-eclampsia, Apgar score and childhood development.


CONCLUSIONS
There is no evidence to support the use of abdominal decompression in normal pregnancies. Future research should be directed towards the use of abdominal decompression during labour, and during complicated pregnancies.
Department of Obstetrics and Gynaecology, East London Hospital Complex, University of the Witwatersrand, University of FortHare, Eastern Cape Department of Health, East London, South Africa. justhof@gmail.com.
G Justus
GJ
Hofmeyr
Regina
R
Kulier
D002657:Child Development; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008150:Lower Body Negative Pressure / Q000379:methods*; D010352:Patient Dropouts / Q000706:statistics & numerical data; D011225:Pre-Eclampsia / Q000517:prevention & control; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control*; D016032:Randomized Controlled Trials as Topic