Table 1.
Organ system | Parameter | Assessment | Intervention | |
---|---|---|---|---|
The woman | Cardiovascular | Blood pressure, heart rate | Continuous | Fluids if considered hypovolemic, inotropes otherwise, preferentially dopamine |
Respiratory | Blood gas analysis | 3 times a day | Lung protective mechanical ventilation, set to keep blood gases in normal range | |
Gastrointestinal/nutrition | Growth of the fetus Total serum protein, albumin and prealbumin Serum vitamin D levels |
Once a week Once a week Once a week |
Gradual increase of the dose of nutrition Gradual increase of the dose of nutrition Substitution to keep serum level in normal range |
|
Renal | Serum ions/urine specific gravity | 3 times a day/in case of polyuria | Substitution, desmopressin in case of polyuria | |
Endocrine | Serum hormone levels (thyroxine, cortisol) | Once a week | Substitution to keep serum levels in normal range | |
The fetus | Cardiovascular | Cardiotocography | Twice a day | – |
Fetal growth | Ultrasound biometry | Once a week | – | |
Organ development malformation | Ultrasound | Once a week | – |