Maternal vitals and labs in pregnancy: Difference between revisions

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==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>==
{{Pregnancy vitals}}
 
{{Pregnancy physiology}}
 
{{Pregnancy labs}}
{| class="wikitable"
|-
|
| '''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% (1300 ml)
*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, L axis
*[[Beta-HCG Levels]]
*Decreased Hct (32-34%)
*Decreased BUN and creatinine (<0.8mg/dL)
*GFR increases up to 60% (140 ml/min)
*Decreased Bicarb
*Increased WBC count (5k-15k)
*Decreased PLTs
*Increased [[D-dimer]] and Fibrinogen


==See Also==
==See Also==

Latest revision as of 21:22, 4 December 2024

Normal Vitals in Pregnancy[1]

Vital 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

Physiologic Changes in Pregnancy[2]

  • Heart rate (HR) increases 15-20 bpm (75-95 bpm)
  • Mean arterial pressure (MAP) increases 10 mmHg (80 mmHg)
  • Tidal volume (TV) increases 40% (700 cc)
  • Minute volume (MV) increases 40% (10.5 L/min)
  • Functional residual capacity (FRC) decreases 25% (1300ml)

Maternal Laboratory Changes in Pregnancy[3]

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

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.
  2. ↑ Kuklina EV, Ayala C, Callaghan WM. Hypertensive disorders and severe obstetric morbidity in the United States. Obstet Gynecol 2009; 113:1299-1306.
  3. ↑ 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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