Subarachnoid Hemorrhage And Pregnancy (PART 4)

Physiologic changes of pregnancy:         Anesthetic management (1) -------------------------------------           -------------------------------------------- 1.Increase in cardiac output(C0)     Careful monitoring of intravascular                                                       volume.   2.Increase in uterine size.               Aortocaval compression in supine                      ...

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Subarachnoid Hemorrhage And Pregnancy (PART 2)

CARDIOVASCULAR CHANGES :(2,4) The pregnancy induced changes in maternal cardiovascu lar system begin in early pregnancy are extensive by the end of the first trimester increasing until term,diminish after delivery until 6 weeks postpartum the mother has returned to her pre pregnant cardiovascular state. The changes are : 1.Increase in cardiac output(CO). 2.reduced peripheral resistance. 3.increased blood volume. Ad.1 The CO increases by 40% by the end of the first          trimester is achieved by 30% in stroke volume and          smaller increase in heart rate(HR). Ad.2. Peripheral resistance falls early in pregnancy...

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Subarachnoid Hemorrhage And Pregnancy (PART 1)

INCIDENCE(1,2) Intracranial hemorrhage(ICH) cause catastrophic complica tions during pregnancy and is considered an important non obstetric of maternal morbidity and mortality. Generally SAH resuls from cerebral aneurysmal rupture or bleeding from arteriomalformation(AVM). SAH has been reported to be the third leading the cause of non obstetric maternal morbidity. About 50% of the patients who present with SAH during pregnancy have a ruptured AVM,as compared with 10% in the non pregnant group. In non pregnant patient,SAH is more commonly caused by the rupture of an intracerebral aneurysm than by AVM. In pregnancy these occur with equal frequency. SAH from an aneurysm during pregnancy usually...

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