diet during pregnancy, pregnancy dietFull description
Obesity is increasingly common in the obstetric population. Maternal obesity and excess gestational weight gain GWG are associated with increased perinatal risk. There is limited published data demonstrating the level of pregnant women's knowledge re
Materi kuliah Kegawatdaruratan Obstetrik Akbid Hafsyah - Medan - SUMUT
Articulo
Introducing the teenage pregnancyDeskripsi lengkap
Abnormal pregnancy in motherhood experienceFull description
Age and Babies
teenage pregnancy reaserchFull description
Teenage pregnancy pananaliksikFull description
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case study about ectopic pregnancy
In this guide, a design engineer works on a converter drive design and determines the voltage change coefficient during the drive start, compares it to permissible levels and suggests solutions to ...
In this guide, a design engineer works on a converter drive design and determines the voltage change coefficient during the drive start, compares it to permissible levels and suggests solutions to ...Full description
In this guide, a design engineer works on a converter drive design and determines the voltage change coefficient during the drive start, compares it to permissible levels and suggests solutions to ...
pregnancy book by DK
hematologic-pregnancy
Full description
Physiological Change During Pregnancy Williams Chapter 5
Reproductive
Tract
Uterus
Nonpregnant: 70gm, 10ml Term: 1000gm, 10L Dextrorotation (rectosigmoid on left side) Uteroplacental flow: 450~650ml/min (term)
Ovary
Corpus luteum (first 7 weeks) Pregnancy luteoma Theca--lutein cysts Theca
Skin Striae
gravidarum
Linea nigra Chloasma Spider
angioma, palmar erythema (estrogen)
Metabolic
Change
Weight Gain (average 12.5kg)
Water Metabolism Increased water retension Osmolality decrease 10 mOsm/kg Extra water gain: 6.5 L
Carbohydrate Fasting glucose ( -) glucose (+),
insulin (+) Insulin resistance (+) Ketonemia
Metabolism
Hematological
Changes
Blood
Volume
Increase 40~45% Mild
anemia, but should not below 11 g/dl
Coagulation Activated state Fibrinogen: 300 mg/dl
450 mg/dl
D-dimer increase Platelet decrease due to hemodilution
Define thrombocytopenia: < 116,000
Cardiovascular
Cardiac output: +20% (1200ml/min)
Heart
rate: +10 beats/min (5%)
Stroke
volume: +15%
Blood
pressure decreased
Diastolic pressure decreases more than systolic
Respiratory
Tract
Diaphragm rises 4 cm during pregnancy Respiratory
rate: no change
Lung compliance: no change Oxygen requirement increase
