Maternal vitals and labs in pregnancy: Difference between revisions

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<table width="200" cellpadding="1" cellspacing="1" border="1">
==Vitals<ref>Kuklina EV, Ayala C, Callaghan WM. Hypertensive disorders and severe obstetric morbidity in the United States. Obstet Gynecol 2009; 113:1299-1306.</ref>==
<td>Nonpreg</td>
<td>T1</td>
<td>T2</td>
<td>T3</td>


</tr>
<tr>
<td>HR</td>
<td>70</td>
<td>78</td>
<td>82</td>
<td>85</td>
</tr>
<tr>
<td>SBP</td>
<td>115</td>


<td>112</td>
{| class="wikitable"
<td>112</td>
|-
<td>114</td>
|
</tr>
| '''Nonpregnant'''
<tr>
| '''1st Trimester'''
<td>DBP</td>
| '''2nd Trimester'''
<td>70</td>
| '''3rd Trimester'''
<td>60</td>
|-
<td>63</td>
| HR
<td>70</td>
| 70
| 78
| 82
| 85
|-
| SBP
| 115
| 112
| 112
| 114
|-
| DBP
| 70
| 60
| 63
| 70
|-
| Hcrt
| 40
| 36
| 33
| 34
|-
| WBC
| 7.2k
| 9.1k
| 9.7k
| 9.8k
|}


</tr>
*TV increases 40% (700 cc)
<tr>
*MV increases 40% (10.5 L/min)
<td>Hcrt</td>
*FRC decreases 25% (1300ml)
<td>40</td>
*HR increases 15-20 bpm (75-95 bpm)
<td>36</td>
*MAP increases 10 mmHg (80 mmHg)
<td>33</td>
<td>34</td>
</tr>
<tr>
<td>WBC</td>
<td>7.2k</td>


<td>9.1k</td>
==Labs==
<td>9.7k</td>
*Increased ESR ~78
<td>9.8k</td>
*Decreased PaCO2 ~30
</tr>
*[[ECG]] with Qs in III & aVF, left axis
</tbody>
*[[Beta-HCG Levels]]
</table>
*Decreased hematocrit (32-34%) due to increased plasma volume
<p>Other:</p>
*Decreased BUN and creatinine (<0.8mg/dL)
<p>Increased ESR &nbsp;~78</p>
*GFR increases up to 60% (140ml/min)
<p>Decreased PaCO2 ~30</p>
*Decreased Bicarb
<p>ECG w/ Qs in III &amp; aVF, L axis&nbsp;</p>
*Increased WBC count (5k-15k)
*Decreased PLTs
*Increased [[D-dimer]] and Fibrinogen


<p>&nbsp;</p>
==See Also==
<p>3/29/09 &nbsp;DONALDSON&nbsp;(adapted from Rosen)</p>
*[[Vital signs]]


    </div>
==References==
 
<references/>
  </div>
[[Category:Critical Care]]
 
[[Category:OBGYN]]
 
 
Nonpreg T1 T2 T3
 
HR 70 78 82 85 SBP 115 112 112 114 DBP 70 60 63 70 Hcrt 40 36 33 34 WBC 7.2k 9.1k 9.7k 9.8k Other:
 
Increased ESR ~78
 
Decreased PaCO2 ~30
 
ECG w/ Qs in III & aVF, L axis
 
 
 
3/29/09 DONALDSON (adapted from Rosen)
 
<br/>[[Category:OB/GYN]]

Latest revision as of 14:09, 31 January 2021

Vitals[1]

Nonpregnant 1st Trimester 2nd Trimester 3rd Trimester
HR 70 78 82 85
SBP 115 112 112 114
DBP 70 60 63 70
Hcrt 40 36 33 34
WBC 7.2k 9.1k 9.7k 9.8k
  • TV increases 40% (700 cc)
  • MV increases 40% (10.5 L/min)
  • FRC decreases 25% (1300ml)
  • HR increases 15-20 bpm (75-95 bpm)
  • MAP increases 10 mmHg (80 mmHg)

Labs

  • Increased ESR ~78
  • Decreased PaCO2 ~30
  • ECG with Qs in III & aVF, left axis
  • Beta-HCG Levels
  • Decreased hematocrit (32-34%) due to increased plasma volume
  • Decreased BUN and creatinine (<0.8mg/dL)
  • GFR increases up to 60% (140ml/min)
  • Decreased Bicarb
  • Increased WBC count (5k-15k)
  • Decreased PLTs
  • Increased D-dimer and Fibrinogen

See Also

References

  1. ↑ Kuklina EV, Ayala C, Callaghan WM. Hypertensive disorders and severe obstetric morbidity in the United States. Obstet Gynecol 2009; 113:1299-1306.
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