Lankford – Physiologic Changes of Pregnancy Part I

The podcast addresses physiological changes during pregnancy and obstetric ultrasounds, using a case-based approach. It covers maternal changes in cardiovascular, respiratory, endocrine, renal, and hematologic systems, alongside identifying normal and abnormal ultrasound findings. One case discusses a patient with twins and decompensated heart failure, detailing optimization strategies like PA catheter placement and inotropic support, and considerations for delivery methods. Another case examines a patient with lupus and suspected preeclampsia, leading to a discussion on kidney changes in pregnancy and the complexities of differential diagnosis. Respiratory changes are explored through a COVID-19 case, emphasizing pre-oxygenation and ventilation strategies. The podcast further investigates coagulation factors and trauma-related complications like placental abruption.