Affected value or systemChange during normal pregnancy
Systolic blood pressureDecreased by an average of 5 to 15 mm Hg
Diastolic blood pressureDecreased by 5 to 15 mm Hg
ElectrocardiogramFlat or inverted T waves in leads III, V1, and V2; Q waves in leads III and aVF
Blood volumeIncreased by 30 to 50 percent
White blood cell countMay be increased; range: 5,000 to 25,000 per mm3 (5 to 25 × 109 per L; higher in late pregnancy)
FibrinogenIncreased; range: 264 to 615 mg per dL (2.6 to 6.1 g per L)
D-dimerFrequently positive
Respiratory rateIncreased by 40 to 50 percent
Oxygen consumptionIncreased by 15 to 20 percent at rest
Partial pressure of oxygenIncreased; range: 100 to 108 mm Hg
Partial pressure of carbon dioxideDecreased; range: 27 to 32 mm Hg
BicarbonateDecreased; range: 19 to 25 mEq per L
Base excessPresent; range: 3 to 4 mEq per L
Blood urea nitrogenDecreased; range: 3 to 3.5 mg per dL (1.1 to 1.2 mmol per L)
Serum creatinineDecreased; range: 0.6 to 0.7 mg per dL (50 to 60 μmol per L); 1.0 mg per dL [90 μmol per L] may be abnormal
Alkaline phosphataseIncreased because of placental production; range: 60 to 140 IU per L (60 to 140 U per L)
KidneysMild hydronephrosis
Gastrointestinal tractDecreased gastric emptying, decreased motility, increased risk of aspiration
Musculoskeletal systemWidened symphysis pubis and sacroiliac joints, which may lead to misreading of radiologic studies
DiaphragmHigher position in pregnancy; consequently, chest tubes would need to be placed one or two interspaces higher.
PeritoneumSmall amounts of intraperitoneal fluid normally present