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Skin Pulmonary
Wt gain Renal
CVS Endocrine
Hematology Lipid
GIT Iron
Shunts
Skin
1. Stria gravidareum
3. Linea nigra
4. Chloasma
Weight gain=11kg(at term)
Reproductive=6kg Maternal =5kg
1. Fetus =3 kg
1. Blood vol = 1 kg
2. Placenta =0.5kg
2. ECF = 1 kg
3. Liquor =1 kg
3. Fat & protein =3 kg
4. Uterus =1 kg
5. Breast =0.5kg
Rate of wt gain
Rapid Stationary/Falling
>0.5kg/wk pre- IUGR/IUFD
eclampsia
CVS: Arterial BP
Normally never elevated
D falls>S fall
CVS: Venous BP
1. CVP unchanged
2. Maximum by 30 2. Lowest by 20
weeks weeks
Uterine 50750ml/min
Kidney 8001200ml/min
Lungs 68.5L/min
Murmurs:
2. Plasma 2. + 50%
3. Hb/Hct 3. - 15%
WBC + 16000/cmm
Hematologic:2/2
1. ESR 1. + due to gamma
globulin
2. Platelets 2. Unchanged
1. - Motility &
2. + Emptying time
3. + Residual volume&
5. Aspiration
GIT: Large bowel
1. - motility
1. +transit time
2. +fluid absorption
3. Constipation
Pulmonary:volumes
Respiratory alkalosis:
1. Pco2=4035
2. pH=7.407.45
Alkalotic urine:
Renal loss of HCO3
Renal anatomy
2. Ureter + Diameter
Renal function
1. GFR, RBF, +50%
CrClearance
2. Urea,Cr,Uric -25%
acid
3. Glucose: 195mg/dl155
tubular mg/dl
reabsorption
threshold
4. Proteinuria Unchanged
Endocrine:Pituitary
1. Prolactin 1. +10x
2. E,P,GH,CRH/ACTH 2. +
3. TSH,ADH 3. unchanged
Endocrine:Adrenal
Adrenal
1. Size 1. Unchanged
Thyroid
1. Size 1. +15%
2. TBG 2. +
3. Total T3T4 3. +
LDL +40%
HDL +15%
Triglyceride +50%
Iron
Non-pregnant Pregnancy
1. Menstrual loss 1. Need= 1gm
=30mg/month fetus,placenta,RB
2. Need =1mg/day C,obligatory loss
2. 6-7mg/day in 2nd
half of pregnancy
3 shunts
Umbilical Ductus Inferior
vein venosus venacava
Umbilical
vein
Ductus
venosus
Inferior
venacava
3 shunts : 2 of 3
Rt atrium
Foramen
ovale
Lt atrium
3 shunts :3 of 3
Pulmonary
artery
Ductus
arteriosus
Descending
aorta