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NON-INVASIVE METHODS FOR MATERNAL CARDIAC OUTPUT MONITORING

Published online by Cambridge University Press:  17 June 2015

ANNELEEN S STAELENS ,
PHILIPPE B BERTRAND ,
SHARONA VONCK ,
MANU L N G MALBRAIN  and
WILFRIED GYSELAERS
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
*
Anneleen S Staelens, MD, Department of Obstetrics and Gynaecology, Ziekenhuis Oost-Limburg, Schiepse Bos 6, 3600 Genk, Belgium. Email: anneleen.staelens@zol.be
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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 stay1. 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 resistance2. 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))3–5.

Type
Review Article
Information
Fetal and Maternal Medicine Review , Volume 25 , Issue 3-4 , November 2014 , pp. 197 - 213
Copyright
Copyright © Cambridge University Press 2015 

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References

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