Pregnancy Part 1

Successful pregnancy outcomes include:
- Viable birth weight
- No congenital defects
- Favorable long-term health outlook for mother and infant
Metabolic changes
- Basal Metabolic Rate increases 15-20% by end of pregnancy
- mother uses more fats bc fetus want glucose
anatomic and physiologic changes at end of pregnancy
- weight
- bone and soft tissue structure
- plasma volume doubles
Full term pregnancy

40 weeks
Renal changes
- GFR increases (glomerular filtration rate)
- may increase risk for preeclampsia- hypertension
GI changes
- Slow GI motility- increase absorption of nutrients
- smooth muscle relaxation
- consequences: constipation, heart burn, delay gastric empting
Why does heart burn occur

relaxation of cardiac spinicter smooth muscle and longer churning of food in stomach
Weight gain due to maternal body composition
- increased blood and fluid volume
- maternal support tissue- breast, uterine
- products of conception (fetus and placenta)
consequences of inadequate weight gain
- low birth weight
- small gestation age (SGA)- weight and height
Normal weight gain when pregnant
- 25-35lbs
- 1st: 0 weight
- 2nd/ 3rd: 1 lb/ week
extra consumption of food

300-400 cal per day in 2nd and 3rd trimester
BMI

doesn’t take into consideration muscle mass
Prenatal vitamin
- only in population where supplementation is necessary
- contain more folic acid to prevent neural tube development
- less A and D- can cause birth defects
Omega 3 (DHA)

neurological development

Author

pugsrule915

273452

Card Set

Pregnancy Part 1

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Pregnancy Part 1

Updated

5/6/2014, 4:35:59 PM

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