Abstract
During pregnancy; multiple physiological adaptations are encountered. Their aim is to protect and nurture the developing fetus and prepare the mother for labor and delivery. They are mediated by an orchestra of maternal and placental hormones. Some of these changes influence normal biochemical values while others may mimic symptoms of medical disease. It is important to differentiate between normal physiological changes and disease pathology. The present review summarizes the changes in different systems of the body and its metabolism in an attempt to assist clinicians caring for pregnant women during health and disease.
 Keywords: adaptations, changes, hormones, metabolism, physiology, pregnancy.
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