Maternal vitals and labs in pregnancy: Difference between revisions

Line 44: Line 44:
*MV increases 40% (10.5 L/min)
*MV increases 40% (10.5 L/min)
*FRC decreases 25% (1300 ml)
*FRC decreases 25% (1300 ml)
*Hematocrit decreases (32-34%)
*HR increases 15-20 bpm (75-95 bpm)
*WBC increases (5000-15,000)
*MAP increases 10 mmHg (80 mmHg)
*GFR increases 60% (140 ml/min)
*Serum Cr decreases (<0.8 mg/dL)


==Labs==
==Labs==

Revision as of 19:38, 8 January 2016

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% (1300 ml)
  • HR increases 15-20 bpm (75-95 bpm)
  • MAP increases 10 mmHg (80 mmHg)

Labs

  • Increased ESR ~78
  • Decreased PaCO2 ~30
  • ECG w/ Qs in III & aVF, L axis
  • Beta-HCG Levels
  • Decreased Hct
  • Decreased BUN and creatinine
  • Decreased Bicarb
  • Increased WBC count
  • 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.