This document summarizes the physiological changes that occur in a woman's body during pregnancy across multiple body systems. The cardiovascular system adapts to accommodate increased circulatory demands for the mother and fetus, including a 40% increase in cardiac output. Respiratory changes include diaphragm elevation and improved oxygen delivery. The genitourinary system experiences kidney enlargement and bladder displacement by the growing uterus. Gastrointestinal changes involve relaxation of the esophagus, stomach and intestines as well as increased risk of gallstones. The endocrine and musculoskeletal systems also adapt to support the nutritional and structural changes of pregnancy.