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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/22760

Title: Why non-invasive maternal hemodynamics assessment is clinically relevant in early pregnancy: a literature review
Authors: Vonck, Sharona
Staelens, Anneleen
Bollen, Ine
Broekx, Lien
Gyselaers, Wilfried
Issue Date: 2016
Abstract: Background: The maternal cardiovascular system adapts quickly when embryo implantation is recognized by the body. Those adaptations play an important role, as a normal cardiovascular adaptation is a requirement for a normal course of pregnancy. Disturbed adaptations predispose to potential hypertensive disorders further in pregnancy [1-3]. This report aims to briefly inform the obstetricians, general practitioners and midwives, who are the key players in detecting and treating hypertensive disorders during pregnancy. Methods: The PubMed database was used as main tool to find studies involving clearly defined first trimester hemodynamic changes in normal pregnancies and hypertensive pregnancies. In addition, the bibliographies of these studies were investigated for further relevant literature. Results: A comprehensive overview is given concerning the normal adaptations in the cardiovascular tree in a first trimester pregnancy. Additionally, signs of abnormal cardiovascular changes observed in first trimester are described together with the normal reference range for each non-invasive, easily applicable technique for maternal hemodynamics assessment. Conclusions: With a combination of techniques, it is possible to integrate and evaluate the maternal heart, veins and arteries at 12 weeks of pregnancy. Applying those techniques into the daily clinic opens perspectives to prevention and prophylactic treatment, aiming for a reduction of the risk for hypertension during pregnancy.
Notes: [Vonck, Sharona; Staelens, Anneleen Simone; Bollen, Ine; Broekx, Lien; Gyselaers, Wilfried] Hasselt Univ, Fac Med & Life Sci, Hasselt, Belgium. [Vonck, Sharona; Staelens, Anneleen Simone; Gyselaers, Wilfried] Ziekenhuis Oost Limburg, Dept Obstet & Gynecol, Schiepse Bos 6, B-3600 Genk, Belgium. [Gyselaers, Wilfried] Hasselt Univ, Dept Physiol, Hasselt, Belgium.
URI: http://hdl.handle.net/1942/22760
DOI: 10.1186/s12884-016-1091-9
ISI #: 000384948200001
ISSN: 1471-2393
Category: A1
Type: Journal Contribution
Validation: ecoom, 2017
Appears in Collections: Research publications

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