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Gynaecology & Obstetrics Physiological Changes of Pregnancy e14fe3a6

All of the following may be observed in a normal pregnancy EXCEPT:

A
Fall in serum iron concentration
B
Increase in serum iron binding capacity
C
Increase in blood viscosity
D
Increase in blood oxygen carrying capacity
High-Yield Explanation
Blood thins out in pregnancy due to the hemodilution of pregnancy. The increase in Blood volume (30-45%) is relatively greater than that of red cell mass (20-30%) resulting in hemodilution and a decrease in haemoglobin concentration. Fibrinogen as well as factors VII , IX, X and XII increase markedly. These changes tend to prevent excessive bleeding at delivery. Pregnancy is a hyper-coagulable state thus, but this is not synonymous with "Increased viscosity" .

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