Obstetric

Question 1

Physiological changes of pregnancy

1. airway
2. resp
3. CV
4. CNS
5. GI

Answer 1

1. easy edamtous
2. decreased FRC and increased 02 consumption, desaturate quick
3. increased blood volum, more than RBC mass = mild anemia, decreased SVR greater than inc CO, decreased BP. Aortocaval compression
4. decreased mac - hormones. Increased block height due to engorged veins
5. delayed gastric emptying. increased volume and acidity- decreased LES. increased abd pressure.

Question 2

Labour pain - rather epidural don´t block motor

1. stage:
2. stage

Answer 2

1. t10-l1 visceral nerve fibers

2. s2-s4 somatic nociception via pudendal nerve