Abstract

During pregnancy there is progressive anatomical, physiological and biochemical changes not only confined to the genital organs but also to all systems of the body.1 any of these changes begin soon after remarkable adaptations occur in response to physiological stimuli provided by the fetus or fetal tissues. Equally astounding is the fact that the woman who is pregnant returns almost completely to her pre-pregnancy state after delivery and cessation of lactation. 2 The understanding of these adaptations to pregnancy is necessary. Because, for example hemoglobin concentration less than 12 gm /dl which define anemia in general population, is not considered indicative of anemia in pregnancy because of a physiological change called hemodilution of pregnancy.

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