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Anatomic and Physiologic Changes of Pregnancy 

Anatomic and Physiologic Changes of Pregnancy
Chapter:
Anatomic and Physiologic Changes of Pregnancy
Author(s):

Laura S. Dean

and Robert D’Angelo

DOI:
10.1093/med/9780199733804.003.0022
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date: 03 December 2020

Introduction 19

Cardiovascular 19

Pulmonary 23

Gastrointestinal 25

Renal 25

Hepatic and Gallbladder 26

Glucose Metabolism 27

Thyroid 27

Hematologic 27

Neurologic 28

Uterus 28

Profound physiologic and mechanical changes occur during pregnancy. Unique alterations allow for the development of a growing fetus, and prepare the parturient for the demands of labor and delivery. Anesthesia providers must recognize the anesthetic implications of this altered physiology in order to care for patients throughout the puerperium, as well as during non-obstetric surgery. Many physiologic adaptations occur during the first trimester, making recognition of pregnancy in women of childbearing age imperative....

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