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Epidural anesthesia – systemic vasodilation that can reduce SV
Poorly tolerated in patient who cannot increase SV, fixed CO
Cesarean section – with GETA
Reduced maternal metabolic needs and stabilization of blood volumes
Normal Physiological Changes in Pregnancy Hemodynamic Changes Postpartum Parameter Change Comment Blood Volume Decrease Blood loss CO Increase 60-80% immediate increase followed by rapid decrease, returns to normal levels in few weeks SV Increase HR Decrease BP Unchanged SVR Increase Loss of low resistance placenta