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NON-INVASIVE METHODS FOR MATERNAL CARDIAC OUTPUT MONITORING

Published online by Cambridge University Press:  17 June 2015

ANNELEEN S STAELENS
Affiliation:
Department of Obstetrics and Gynaecology, Ziekenhuis Oost Limburg, Genk, Belgium Department of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium
PHILIPPE B BERTRAND
Affiliation:
Department of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium Department of Cardiology, Ziekenhuis Oost Limburg, Genk, Belgium
SHARONA VONCK
Affiliation:
Department of Obstetrics and Gynaecology, Ziekenhuis Oost Limburg, Genk, Belgium Department of Cardiology, Ziekenhuis Oost Limburg, Genk, Belgium
MANU L N G MALBRAIN
Affiliation:
Department of Intensive Care, Ziekenhuis Netwerk Antwerpen, ZNA Stuivenberg, Antwerp, Belgium
WILFRIED GYSELAERS
Affiliation:
Department of Obstetrics and Gynaecology, Ziekenhuis Oost Limburg, Genk, Belgium Department of Physiology, Hasselt University, Hasselt, Belgium
Corresponding
E-mail address:

Extract

In a non-obstetric population, the optimization of cardiac output (CO) had been shown to improve survival and to reduce postoperative complications, organ failure and the length of stay 1 . CO monitoring might be very useful in the obstetric population as well, as physiologic changes of CO during pregnancy are mandatory for a normal outcome. An uncomplicated pregnancy is associated with a 50% increase in maternal CO, which is mediated by plasma volume expansion and a decrease in peripheral resistance 2 . An aberrant change of this maternal CO might influence pregnancy outcome: pregnancies complicated with foetal growth restriction and/or preeclampsia are characterized by increased total vascular resistance and reduced systolic function (i.e. lower CO and stroke volume (SV)) 35 .

Type
Review Article
Copyright
Copyright © Cambridge University Press 2015 

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