Assessment of venous hemodynamics and volume homeostasis during pregnancy: recommendations of the International Working Group on Maternal Hemodynamics

W. Gyselaers*, M. Spaanderman, Int Working Grp Maternal Hemodynam

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Venous hemodynamics and volume homeostasis are important aspects of cardiovascular physiology. However, today their relevance is still very much underappreciated. Their most important role is maintenance and control of venous return and, as such, cardiac output. A high-flow/low-resistance circulation, remaining constant under physiological circumstances, is mandatory for an uncomplicated course of pregnancy. In this article, characteristics of normal and abnormal venous and volume regulating functions are discussed with respect to normal and pathologic outcomes of pregnancy, and current (non-invasive) methods to assess these functions are summarized. Copyright (C) 2017 ISUOG. Published by John Wiley & Sons Ltd.
Original languageEnglish
Pages (from-to)174-185
Number of pages12
JournalUltrasound in Obstetrics & Gynecology
Volume52
Issue number2
DOIs
Publication statusPublished - 1 Aug 2018

Keywords

  • maternal hemodynamics
  • plasma volume
  • pregnancy
  • venous hemodynamics
  • venous return
  • volume homeostasis
  • FETAL-GROWTH RESTRICTION
  • VEIN IMPEDANCE INDEX
  • LOW-PLASMA-VOLUME
  • MULTIFREQUENCY BIOELECTRICAL-IMPEDANCE
  • ENDOTHELIAL VASODILATOR PRODUCTION
  • MESENTERIC RESISTANCE ARTERIES
  • HUMAN CHORIONIC-GONADOTROPIN
  • UTERINE BLOOD-FLOW
  • INFERIOR VENA-CAVA
  • CONSCIOUS RATS

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