Obstetrics: Physiology of Pregnancy — Expert Clinical Reference

Gynecology and Obstetrics · Clinical Specialties

How it begins

Referencia clínica exhaustiva sobre las adaptaciones anatómicas, hormonales y sistémicas del organismo materno durante la gestación, la fisiología de la unidad feto-placentaria, y sus correlatos clínicos fundamentales.

What it covers

1. Physiology of Pregnancy
2. 1. Introduction to Gestational Physiology
3. · 1.1 General Principles of Gestational Adaptation
4. 2. Endocrine Physiology of Pregnancy
5. · 2.1 Human Chorionic Gonadotropin (hCG)
6. · 2.2 Progesterone
7. · 2.3 Estrogens
8. · 2.4 Human Placental Lactogen (hPL / hCS)
9. · 2.5 Hypothalamus-Pituitary-Adrenal and Thyroid Axis
10. · 2.6 Prolactin and other hormones
11. 3. Cardiovascular System
12. · 3.1 Cardiac Output
13. · 3.2 Systemic Vascular Resistance and Blood Pressure
14. · 3.3 Aortocaval Compression and Supine Hypotension Syndrome
15. · 3.4 Cardiac Anatomical and Auscultatory Changes
16. · 3.5 Blood Volume and its Components
17. · 3.6 Blood pressure and supine hypotension syndrome
18. 4. Hematological System
19. · 4.1 Physiological Anemia of Pregnancy
20. · 4.2 White and Platelet Series
21. · 4.3 Hypercoagulable State
22. 5. Respiratory System
23. · 5.1 Anatomical Changes
24. · 5.2 Changes in Volumes and Pulmonary Mechanics
25. · 5.3 Physiological Dyspnea and Hyperventilation
26. 6. Renal and Urinary System
27. · 6.1 Anatomical Changes of the Urinary Tract
28. · 6.2 Renal Hemodynamics
29. · 6.3 Physiological Glucosuria and Proteinuria
30. · 6.4 Renin-Angiotensin-Aldosterone System (RAAS)
31. · 6.5 Predisposition to urinary tract infection
32. 7. Gastrointestinal System
33. · 7.1 Nausea and Vomiting of Pregnancy (NVE)
34. · 7.2 Motility and Gastroesophageal Reflux
35. · 7.3 Gallbladder and Liver
36. 8. Maternal Metabolism
37. · 8.1 Carbohydrate Metabolism — Biphasic Model
38. · 8.2 Lipid Metabolism
39. · 8.3 Gestational Weight Gain
40. · 8.4 Calcium and Vitamin D Metabolism
41. 9. Musculoskeletal System
42. 10. Skin and Faneras
43. · 10.1 Pigmentary Changes
44. · 10.2 Cutaneous Vascular Changes
45. · 10.3 Striae Gravidarum
46. · 10.4 Changes in Hair and Nails
47. 11. Immune System
48. · 11.1 Maternal-Fetal Tolerance Mechanisms
49. · 11.2 Infectious Susceptibility
50. 11b. Breast and Preparation for Breastfeeding
51. · 11b.1 Anatomical and hormonal changes
52. · 11b.2 Lactogenesis: the phases of milk secretion
53. · 11b.3 Neuroendocrine reflexes
54. 12. Placenta and Ovular Annexes
55. · 12.1 Development and Structure
56. · 12.2 Trophoblastic Invasion and Remodeling of Spiral Arteries
57. · 12.3 Functions of the Placenta
58. · 12.4 Umbilical Cord
59. · 12.5 Placental transfer mechanisms
60. 13. Amniotic fluid
61. · 13.1 Production and Reabsorption Dynamics
62. · 13.2 Ultrasound Evaluation and Reference Values
63. · 13.3 Functions of amniotic fluid
64. 14. Fetal Circulation and its Short Circuits
65. · 14.1 Circulatory Transition at Birth
66. 15. Chronology of Adaptations by Quarter
67. 16. Summary Table of Reference Values in Pregnancy
68. 16b. Physiological Adaptations to Labor
69. · 16b.1 From uterine quiescence to contractile activity
70. · 16b.2 Cervical ripening
71. · 16b.3 Fetal adaptation at birth
72. 17. Synthesis: Physiology as a Key to Obstetric Pathology