• Plasma volume (\uparrow) 50%, RBC (\uparrow) 25%, so dilutation occurs, maximally at 32 weeks.
  • Increases folic acid requirements
  • Leukocytosis - mainly neutrophilia (left shift may also been seen more immature cells)
  • Thrombocytopenia - no pathological significance and recovers
  • Pro-thrombotic state however - coagulation factor increase, and clot breakdown decreases