Maternal Hemodynamics

Discover new concepts in cardiovascular and hemodynamic functionality during pregnancy, with international experts in feto-maternal medicine. During the early stages of pregnancy, the maternal heart and circulation are subject to major gestational adaptive changes that allow for a normal course and outcome for both mother and baby. Any disruption to these processes can precipitate the onset of severe maternal and fetal complications such as preeclampsia, or intrauterine growth restriction. This invaluable reference work provides a comprehensive discussion of each aspect of the circulation. With a focus on the physiologic and pathophysiologic aspects of maternal cardiovascular function, this guide supports non-invasive assessment, management and prevention techniques for cardiovascular disease, for all stages of fetal and neonatal life. This text supports researchers and specialists in maternal-fetal medicine, whilst providing a key grounding in the topic, for trainees wishing to be at the cutting edge of theories and research.

Discover new concepts in cardiovascular and hemodynamic functionality during pregnancy, with international experts in feto-maternal medicine. During the early stages of pregnancy, the maternal heart and circulation are subject to major gestational adaptive changes that allow for a normal course and outcome for both mother and baby. Any disruption to these processes can precipitate the onset of severe maternal and fetal complications such as preeclampsia, or intrauterine growth restriction. This invaluable reference work provides a comprehensive discussion of each aspect of the circulation. With a focus on the physiologic and pathophysiologic aspects of maternal cardiovascular function, this guide supports non-invasive assessment, management and prevention techniques for cardiovascular disease, for all stages of fetal and neonatal life. This text supports researchers and specialists in maternal-fetal medicine, whilst providing a key grounding in the topic, for trainees wishing to be at the cutting edge of theories and research.

The objective The aim of this study is to assess maternal hemodynamics immediately in the postpartum period, and also after 2 and 6 months, in the parturients who were diagnosed with preeclampsia and eclampsia and to evaluate the long- term risks of developing heart dysfunction, heart failureDesign Prospective observational case-control study Population 90 postpartum women after mild and severe preeclampsia and eclampsia (main group) and 55 patients after an uncomplicated pregnancy (control group). The parameters of maternal hemodynamics were recorded on 1,3,5,9,14 day postpartum period, as well as after 2 and 6 months after delivery. Indicators of the control group compared with the hemodynamic parameters in nonpregnant patients of reproductive age without somatic diseases (30 cases).Methods The following indicators were assessed by echocardiography: end-systolic volume (ESV), end-diastolic (EDV), stroke volume (SV), cardiac output (CO), stroke index (SI) and cardiac index (CI), mean velocity of circumferential fiber shortening (MVCF), heart rate (HR), mean blood pressure (MBP) and systemic vascular resistance (SVR).Results After uncomplicated pregnancy on the third day we observed increase in the cardiac parameters (SV, CO, SI, CI) and the simultaneous decrease in SVR demostratedby reduction in vascular resistance in carotid, ophthalmic and renal arteries as compared to non-pregnant patients (P

Hemodynamic Monitoring Made Incredibly Visual! Second Edition offers an innovative visual approach to mastering the principles and practice of hemodynamic monitoring. Hundreds of detailed and colorful photographs, diagrams, charts, and other visual aids clarify essential cardiopulmonary anatomy and physiology and demonstrate the technical points and clinical applications of today's pressure monitoring systems, hemodynamic monitoring techniques, and circulatory assist devices. Lighthearted logos present visual mnemonics and reinforce key points. This edition includes new noninvasive cardiac output monitoring techniques and has been updated to current Infusion Nursing Standards of Practice, Centers for Disease Control requirements, and American Association of Critical-Care Nurses Standards of Practice.

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Addresses the challenges of managing critically ill obstetric patients, with chapters authored by intensivists/anesthesiologists and obstetricians/maternal-fetal medicine specialists.

Hypertensive disorders are among the most common medical complications of pregnancy, with an incidence of approximately 6-10%. This spectrum of conditions includes essential hypertension, pre-eclampsia and HELLP syndrome. For patients with pre-existing hypertension, management ideally commences prior to conception, and continues through pregnancy to the postnatal period. This book provides information on the evidence-based management of women with hypertension throughout pregnancy, supported by important background information on the etiology, risk-factors and pathophysiology of these disorders. Illustrated with accompanying algorithms, tables and lists for quick reference on diagnostic criteria, drugs and side-effects, this book will help clinicians rapidly gain access to the information they need to care for these patients. This will to be of interest to all grades of obstetric trainees as well as specialists, obstetric anesthetists and anesthetic trainees, midwives and maternal-fetal physicians.