Alterations in physiology and anatomy during pregnancy
Alterations in physiology and anatomy during pregnancy
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DOI：
10.1016/j.bpobgyn.2013.08.001
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发表时间：
2013-12-01
影响因子：
5.5
通讯作者：
Tan, Eng Loy
中科院分区：
文献类型：
--
作者：
Tan, Eng Kien;Tan, Eng Loy
孕妇经历了深刻的解剖和生理变化，以便能够科普怀孕期间增加的身体和代谢需求。心血管系统、呼吸系统、血液系统、肾脏系统、胃肠道系统和内分泌系统都经历重要的生理变化和适应，这些变化和适应是胎儿发育和母亲和胎儿在分娩时生存所必需的。这种解剖学和生理学上的改变可能会导致解释体征，症状和生化检查的困难，使孕妇的临床评估不可避免地令人困惑，但具有挑战性。了解这些变化对每一位执业产科医生都很重要，因为从正常生理变化的病理偏离可能不清楚，直到产生不良后果。只有对生理学和解剖学变化有充分的了解，才能安全地优化产科产妇的护理，以获得更好的母婴结局。(C)2013爱思唯尔有限公司保留所有权利。
Pregnant women undergo profound anatomical and physiological changes so that they can cope with the increased physical and metabolic demands of their pregnancies. The cardiovascular, respiratory, haematological, renal, gastrointestinal and endocrine systems all undergo important physiological alterations and adaptations needed to allow development of the fetus and to allow the mother and fetus to survive the demands of childbirth. Such alterations in anatomy and physiology may cause difficulties in interpreting signs, symptoms, and biochemical investigations, making the clinical assessment of a pregnant woman inevitably confusing but challenging. Understanding these changes is important for every practicing obstetrician, as the pathological deviations from the normal physiological alterations may not be clear-cutuntil an adverse outcome has resulted. Only with a sound knowledge of the physiology and anatomy changes can the care of an obstetric parturient be safely optimized for a better maternal and fetal outcome. (C) 2013 Elsevier Ltd. All rights reserved.