December 23, 2013

Respiratory changes during pregnancy

The shape of chest changes because uterus enlarges. The diaphragm
is elevated as much as 4cm and rib cage displaced upwards.

Que. -  How it can possible to transfer of oxygen (O2) from mother to fetus ?
Ans. -  There is progressive increase in oxygen consumption which is caused
            by the increased metabolic need of mother and fetus. The hyperventilation
            causes change in acid base balance.The arterial PaCO2 falls from
            38 to 32 mm Hg and PaO2 from 95 to 105 mm Hg. This facilitate
            transfer of CO2 from the fetus to the mother and Ofrom the mother
            to the fetus.

Changes in the respiratory system -



       Non
    Pregnant

  Pregnancy   Near term

    Changes

       Respiratory rate
            (per min)

        15

       15

  Unaffected
      
        Vital capacity
                (ml)

      3200

      3300

  Increased

       Tidal volume
              (ml)

        475

       675

    +40%
  Increased

    Residential  volume
                (ml)

       965

      765

     -20%
  Decreased
  
    Total lung capacity
               (ml)

      5000

      4750

      -5%
    Slightly
  decreased

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