What can be a physiological effect of respiratory changes in pregnancy?

Study for the American Board of Obstetrics and Gynecology (ABOG) Qualifying Exam. Hone your skills with flashcards and multiple choice questions, complete with hints and explanations. Prepare confidently for your exam!

During pregnancy, several physiological changes occur in a woman's body to support the growing fetus. One significant change is the adaptations in the respiratory system. As the uterus expands, it exerts pressure on the diaphragm, changing respiratory dynamics. Pregnant women tend to have an increased respiratory rate and can experience deeper inhalations, which leads to hyperventilation.

This hyperventilation can cause increased levels of carbon dioxide removal from the body, resulting in a decrease in arterial carbon dioxide tension (PaCO2). As a result, the blood pH increases, leading to respiratory alkalosis. The body adapts to this state by also increasing renal excretion of bicarbonate to help compensate for the change in pH and maintain homeostasis.

Thus, the physiological effect of respiratory changes in pregnancy is characterized by an increase in respiratory alkalosis due to the lower levels of carbon dioxide and higher blood pH that occur as a result of the mother's respiratory adaptations. This understanding helps highlight the unique physiological reactions during pregnancy and their implications for maternal and fetal wellbeing.

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