and Marshall Carpenter3, 4 (1) Obstetric Medicine, Women’s Medicine Collaborative, The Miriam Hospital, Providence, RI, USA (2) The Warren Alpert Medical School at Brown University, Providence, RI, USA (3) Women’s Medicine…
Test Reference intervals Change in pregnancy CBC WBC 3.00–10.5×109/L ↑to 10–16×109/L Hb 115–155 g/L ↓to 100–130 g/L Platelet count 100–400×109/L ↓near term to as low as 100 x10 9/L PTT…
Physiological changes Common symptoms Decreased lower esophageal sphincter Decreased gastric empting Altered gastric and esophageal motility Increased intra-abdominal pressure Esophageal reflux Nausea and vomiting of pregnancy Increased intestinal transit Altered…
Changes Seen Upper respiratory tract • Hyperemia and edema of naso- and oropharynx resulting in rhinitis of pregnancy Thorax/diaphragm • Diaphragm rises by 4 cm • Chest diameter increases by 2 cm…
New cases of viral hepatitis are prevented Persons who are already infected are tested Informed about their infection Provided with counseling, care, and treatment Educate providers and communities to reduce…
Renal change Mechanisms for change Clinical implications 80 % increase in renal blood flow (RBF) 40–60 % increase in glomerular filtration rate (GFR) Less efficient tubular resorption Increased solute excretion…
Fig. 14.1 Thyrotropin-releasing hormone (TRH); thyroid-stimulating hormone (TSH); tetraiodothyronine (T4); triiodothyronine (T3) Conditions that increase T3 and T4 production result in hyperthyroidism and those that decrease production result in hypothyroidism….
Maternal risk factors Age >35 years BMI > 30 kg/m2 Black race Cigarette smoker IV drug user Medical comorbidities: Infection, dehydration, diabetes, malignancy, autoimmune disease, varicose veins, sickle cell, nephrotic syndrome, hypertension…
© Springer Science+Business Media New York 2015Karen Rosene-Montella (ed.)Medical Management of the Pregnant Patient10.1007/978-1-4614-1244-1_2 2. Management Principles of the Critically Ill Obstetric Patient Elie Zouein1 and Ghada Bourjeily2, 3 (1) Department of Medicine, Respiratory Intensive Care…
