Physiological Changes in Cardiovascular System during Pregnancy

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12 Questions

What is the typical increase in red blood cells (RBCs) by term during pregnancy?

20%

How much blood loss is estimated during a vaginal delivery?

300-500mL

Which position should be avoided during neuraxial anesthesia in the 2nd and 3rd trimester due to aortic compression concerns?

Supine position

What percentage of patients may experience aortoiliac artery compression during pregnancy?

15-20%

Which of the following is a common effect of inferior vena cava compression during pregnancy?

Decreased systemic blood pressure

What physiological change in the respiratory system is attributed to increased estrogen, progesterone, and relaxin during pregnancy?

Increased upper airway narrowing

What is the primary effect of increased progesterone on systemic vascular resistance (SVR)?

Vasodilation leading to decreased SVR

Which blood vessel experiences dilation due to increased relaxin effects during pregnancy?

Renal artery

When does cardiac output (CO) decrease to pre-labor levels postpartum?

24 - 48 hours postpartum

What is the main reason for the increased cardiac output during labor?

Increased heart rate and stroke volume

How does a twin gestation impact the cardiovascular changes seen during pregnancy?

Leads to a 20% higher increase in cardiac output

What effect does increased renin activity have on sodium and water retention during pregnancy?

Increased retention of sodium and water

Learn about the impact of increased progesterone and relaxin levels on the cardiovascular system during pregnancy, leading to decreased systemic vascular resistance (SVR) and vasodilation. Understand how alterations in receptor function and vascular smooth muscle contribute to a lower SVR throughout pregnancy.

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