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Critically sick pregnant patients represent a challenge for the health team due to the complex physiological changes of the associated conditions, because there are two patients (mother and fetus) with different physiologies, because of the anatomical changes in the mother, and because of the presence of exclusive pathologies of pregnancy (such as pre-eclampsia, abruptio placentae and amniotic fluid embolism, among others). In this review we make a brief account of the basic physiological maternal adaptations for pregnancy, a brief review of fetal physiology, the bases of the invasive monitoring, and some considerations about specific situations with critically ill patients. We will not review the management of specific pathologies of pregnancy.

Algunos aspectos en el cuidado crítico de la paciente obstétrica