Cardiovascular Physiology of

Pregnancy

Presented by:
dr. Lyra Febrianda

Supervisor:
dr. Adi Purnawarman, Sp. JP (K)-FIHA,
FAsCC
Maternal Hemodynamic Changes
Systemic vascular resistance
increases to near-pre- pregnancy
levels postpartum by 2 weeks after
delivery, maternal hemodynamics
have largely returned to nonpregnant
levels.

The systemic vasodilation of

pregnancy occurs as early as at 5
weeks.
The decrease is ≈35% to 40% of
baseline
Cardiovascular Physiology of Pregnancy

Cardiac Output

Blood Pressure

Heart Rate

Contractility

Sympathetic Activity and Baroreceptors

Pregnancy Hormonal Changes

Renin-Angiotensin-Aldosterone System

Remodeling
Thank You