Maternal physiology

Cut Nonda Maracilu

Uterus
TIDAK HAMIL

HAMIL

UKURAN

10 ml atau kurang

5 L- 20L

STRUKTUR

SOLID

muskular

BERAT

70 gr

1100 gr

BENTUK

pir

ovoid

Kontraktilitas

Serviks

Ovaries
Ovulation

ceases during pregnancy,

and maturation of new follicles is
suspended.
The single corpus luteum found in
pregnant women functions
maximally during the first 6 to
7weeks of pregnancy and thereafter
contributes relatively little to
progesterone production.

Tuba falopi

Vagina dan Perineum

Payudara

Kulit

Dinding Abdomen

Hiperpigmentasi

Perubahan Metabolik

 At

term, the water content of the

fetus, placenta, and amnionic fluid
approximates 3.5 L.
Another 3.0 L accumulates from
increases in maternal blood volume
and in the size of the uterus and
breasts.
the average woman accrues during
normal pregnancy is approximately
6.5 L.

 pitting

edema of the ankles and legs

is seen in most pregnant women,
especially at the end of the day.
This fluid accumulation, which may
amount to a liter or so, is caused by
increased venous pressure below the
level of the uterus as a consequence
of partial vena cava occlusion.

The

remaining 500 g is added to the uterus as

contractile protein, to the breasts primarily in
the glands, and to maternal blood as
hemoglobin and plasma proteins.
Normal pregnancy is characterized by mild
fasting hypoglycemia, postprandial
hyperglycemia, and hyperinsulinemia.
Response is consistent with a pregnancy
induced state of peripheral insulin resistance.
The mechanism(s) responsible for insulin
resistance is not completely understood.

 The

concentrations of lipids,
lipoproteins, and apolipoproteins in
plasma increase.
Enhanced lipolytic activity, and
decreased lipoprotein lipase activity.
During the third trimester, average
total serum cholesterol, LDL- C, HDLC, and triglyceride levels are
approximately 267 30 mg/dL,
136 33 mg/dL, 81 17 mg/dL, and

Jantung

Saluran Pernapasan

Perubahan Hematologis

 Protects

the mother, and in turn the

fetus, against the deleterious effects
of impaired venous return in the
supine and erect positions.
Safeguards the mother against the
adverse effects of parturitionassociated blood loss.

Sistem Kemih

Saluran Pencernaan

Sistem Endokrin

Sistem Muskuloskeletal

Susunan Saraf Pusat

Dilaporkan adanya masalah dalam pemusatan
fikiran, perhatian, dan daya ingat.
Tekanan intraokular menurun selama kehamilan,
karena meningkatnya aliran keluar vitreus
Sensitifitas kornea menurun
Penebalan kornea, karena edema
Dimulai sejak sekitar 12 minggu dan berlanjut
sepanjang 2 bulan pertama pascapersalinan,
wanita mengalami kesulitan jatuh tertidur,
pengurangan jam tidur malam, dan penurunan
efisiensi tidur serta sering terbangun.

TEURIMENG GEUNASEH