Full 2L QBank
Gynaecology & Obstetrics General 3c1f38d1

What is the rate of uterine blood flow at term in a primigravida?

A
50-75 ml/min
B
150-200 ml/min
C
350-400 ml/min
D
>500 ml/min
High-Yield Explanation
At term, uterine blood flow represents about 10% of the cardiac output, or 600-700 mL/min (compared with 50 mL/min in the nonpregnant uterus). Eighty percent of uterine blood flow normally supplies the placenta; the remainder goes to the myometrium. Pregnancy maximally dilates the uterine vasculature, so that autoregulation is absent, but the uterine vasculature remains sensitive to -adrenergic agonists. Also know: Uterine blood flow is not usually significantly affected by respiratory gas tensions, but extreme hypocapnia (PaCO2 Three major factors decrease uterine blood flow during pregnancy: (1) systemic hypotension, (2) uterine vasoconstriction, and (3) uterine contractions. Ref: Butterwoh IV J.F., Mackey D.C., Wasnick J.D. (2013). Chapter 40. Maternal & Fetal Physiology & Anesthesia. In J.F. Butterwoh IV, D.C. Mackey, J.D. Wasnick (Eds), Morgan & Mikhail's Clinical Anesthesiology, 5e.

Related Gynaecology & Obstetrics MCQs

Practice 2,00,000+ NEET PG Questions Free

Timed mock tests, mistake queue analytics, audio lectures & zero attempt limits on i❤️Exams.

Start Free Mock Test Now