Maternal vitals and labs in pregnancy: Difference between revisions
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*[[ECG]] with Qs in III & aVF, left axis | *[[ECG]] with Qs in III & aVF, left axis | ||
*[[Beta-HCG Levels]] | *[[Beta-HCG Levels]] | ||
* | *Initial increase in RBC mass and Hb/Hc, then decreased hematocrit (32-34%) in later stages | ||
*Decreased BUN and creatinine (<0.8mg/dL) | *Decreased BUN and creatinine (<0.8mg/dL) | ||
*GFR increases up to 60% (140ml/min) | *GFR increases up to 60% (140ml/min) | ||
Revision as of 22:42, 7 October 2018
Vitals[1]
| Nonpregnat | 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
- Initial increase in RBC mass and Hb/Hc, then decreased hematocrit (32-34%) in later stages
- 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
- ↑ Kuklina EV, Ayala C, Callaghan WM. Hypertensive disorders and severe obstetric morbidity in the United States. Obstet Gynecol 2009; 113:1299-1306.