(上海交大)妇产科学(双语)全套课件.ppt

ABRUPTIO PLACENTAE Cardiovascular Complications Liu Wei Department of Ob Gy Ren Ji hospital General Consideration Cause of mother death The 2nd cause Incidence 1%-4% General Consideration Antenatal cardiovascular changes Blood volume increase by 40%-60% Peaking at 32 –34 weeks the expansion in plasma volume is greater than that expansion of red cell mass. Cardiac output Increase by 40%-50% Peaking at 20-24 weeks General Consideration Blood pressure Decrease in the first trimester Rise to prepregnancy levels in the third trimester Heart s