Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/5e5d050c0e88253955b3f710
Brazilian Journal of Anesthesiology
Scientific Article

Alterações Fisiológicas Maternas da Gravidez

Maternal Physiological Changes during Pregnancy

Guilherme F F Reis

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Resumo

A gestação produz profundas alterações no organismo materno com o objetivo fundamental de adequá-lo às necessidades orgânicas próprias do complexo materno-fetal e do parto. Inicialmente estas alterações se devem às ações hormonais provenientes do corpo lúteo e da placenta e a partir do segundo trimestre, também ao crescimento uterino. As principais modificações da fisiologia materna ocorrem no sistema cardiocirculatório, respiratório e gastrintestinal, além das metabólicas e hematológicas. O conhecimento destas modificações é de fundamental importância para o anestesiologista que se propõe a dar atendimento na difícil área da anestesia obstétrica.

Palavras-chave

PHYSIOLOGY: pregnancy; SURGERY: Obstetrics

References

01. Bonica JJ - Principles and Pratice of Obstetric Analgesia and Anesthesia. Davis, Philadelphia, 1967.

02. Ueland K, Hansen J M - Maternal Cardio Vascular dynamics. Am J Obstet Gynecol, 1969; 103: 8-18.

03. Ueland K, Hansen J M - Maternal Cardio Vascular dynamics: Posture and uterine contrations. Am J Obstet Gynecol, 1969; 103: 1-7.

04. Hansen J M, Ueland K - The influence of caudal analgesia on cardiovascular dynamics during labor and delivery. Acta Anaesthesiol Scand, 1966; Supl 23: 449-452.

05. Lees M M, Taylor S A, Scott D B - A Study of Cardiac Output at rest throughout pregnancy. J Obstet Gynecol Br Commonw, 1967; 74: 319-328.

06. Howard B K, Goodson J H, Mengert W F - Supine hypotension Syndrome in late pregnancy. Obstet Gynecol, 1953; 1: 371-377.

07. Keer M G, Scott B D, Samule E - Studies of inferior vena cava in late Pregnancy. Br med J, 1964; 1: 532-533.

08. Bierniarz J, Crottogini J J, Curachet E: Aortocaval Compression by the uterus in late human pregnancy. Am J Obstet Gynecol, 1968, 100: 203-217.

09. Mathias R S, Carvalho J C A - Anestesia em Obstetrícia Curso de Atualização - SAESP 1990.

10. Goodman R P, Killow A P, Brash A R, Branch R A - Prostacyclin production during pregnancy. Am J Obstet Gynecol, 1982; 142: 817-822.

11. Clark K E, Austin J E, Seeds A E - Effect of bisenoic prosteglandins and arachidonic acid on the uterine vasculature of pregnant sheep. Am J Obtet Gynecol, 1982; 142: 261-268.

12. Shnider Sol M, Levinson G - Anesthesia for obstetrics - Second Edition, 1987.

13. Moir D D - Anestesia e Analgesia em Obstetrícia - Ed. Guanabara Koogan, 1979.

14. Shnider Sol M, Levinson G - Anesthesia for Obstetrics: Anesthesia 3ª Edition - Edited by Ronald D Miller, 1990.

15. Bonica J J - Obstetric Analgesia and Anesthesia - World Federation of Societies of Anaesthesiologists, 1980.

16. Peabody J L - Transcutaneous oxygen measurement to evaluate drug effects. Clin Perinatol, 1979; 6: 109.

17. Kambam Jr Handte R E et al - Effects of normal and preeclamptic pregnancies on the oxyhemoglobin dissociaton curve. Anesthesiology, 1985; 65: 426.

18. Sangoul F, Fox G S, Houle G L - Effect of regional analgesia on maternal oxygen consumption during the first stage of labor. Am J Obstet Gyneeol, 1975; 121: 1080.

19. Pritchard J A - Changes in blood volume during pregnancy and delivery. Anesthesiology, 1965; 26: 393.

20. Murray F A, Erskine J P, Fielding J - Gastric secretion in pregnancy. J Obstet Gynaecol Br Commonw, 1957; 64: 373.

21. Spence A A, Moir D D, Finlay W E - Observation of intragastric pressure. Anaesthesia, 1967; 22: 249-256.

22. Brockeutne J G, Downing J W, Dimo Poulus G E - Effect of domperidine on lower esophageal sphincter tone in late pregnancy. Anesthesiology, 1980; 52: 321.

23. Fagraeus L, Urban B J, Bromage P R - Spread of epidural analgesia in early pregnancy. Anesthesiology, 1983; 58: 184.

24. Data S, Lambert D H, Gregus J - Differential sensitivities of mammalian never fiber during pregnancy. Anesthesiology, 1983; 62: 1070.

25. Palahniuk R J, Shider S M, Egen E - I II: Pregnancy decreases the requirements for inhaled anesthetic agents. Anesthesiology, 1974; 41: 82.

26. Gintzler A R - Endorfin mediated increases in pain threshold during pregnancy. Science, 1980; 210: 193.

27. Van Wagenen G, Jenkins R H - An experimental examination of factor causing ureteral dilation of pregnancy. J urol, 1939; 42: 1010-1020.

28. Snider S M - Serum cholinesterase activity during pregnancy, labor and puerperium. Anesthesiology, 1965; 26: 335-339.

29. Smith B E, Moya F, Snider S M - The effects of anesthesia on liver function during labor. Anesth Analg, 1962; 41: 24-31.

30. McNair R D, Jaynes R V - Alterations in liver functions during normal pregnancy. Am J Obstet Gynecol, 1960; 80: 500-505.

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