Pregnancy and Lactation in a 67-Year-Old Elderly Gravida following Donor Oocyte In Vitro Fertilization

Table 1

Vital signs, echocardiogram findings, and significant lab values by gestational age.

Gestational age (weeks)	12 3/7	13 5/7	19 6/7	28 5/7	30 5/7	35 6/7	36 1/7	6 weeks postpartum
Vital signs
Blood pressure (mmHg)	137/83	121/79	121/73	122/76	129/71	136/75	142/78	143/84
Pulse	93	76	73	81	76	69	67	63
Respiratory rate	20	17	16	16	18	18	16	16
SaO2 %	97	n.d.	n.d.	98	97	n.d.	96	n.d.
Weight (kg)	n.d.	73.0	74.8	n.d.	n.d.	n.d.	79.8	66.7
Labs
Hemoglobin (g/dL)	11.3	n.d.	n.d.	n.d.	9.8	n.d.	11.0	n.d.
Platelet count (10^3/)	232	n.d.	n.d.	n.d.	180	n.d.	189	n.d.
Urine protein (mg/24 hours)	n.d.	208	n.d.	202	n.d.	n.d.	n.d.	n.d.
Total protein/Cr (ratio)	n.d.	n.d.	n.d.	n.d.	0.12	n.d.	0.18	n.d.
BUN/Cr (mg/dL)	5/0.5	6/0.41	n.d.	3/0.48	4/0.43	5/0.5	3/0.5	n.d.
ALT/AST (U/L)	n.d.	19/21	n.d.	16/22	11/18	10/17	11/16	n.d.
BNP (pg/mL)	n.d.	n.d.	25	37	22	74	74	n.d.
Echocardiogram (TTE)
Gestational age (weeks)	30 6/7				35 6/7
TTE findings
LVEF (%)	70%				60-64%
Ventricular size	Normal				Normal
Wall motion abnormality	No regional wall abnormality				Impaired relaxation
Cardiac output (L/min)	10 L/min				n.d.
Mitral valve	Structurally normal				Mild mitral valve thickening, trace mitral regurgitation
Tricuspid valve	Structurally normal				Structurally normal
Aortic valve	Structurally normal				Structurally normal
Pulmonic valve	Structurally normal				Structurally normal
Tricuspid regurgitation	Trace				n.d.
RV systolic pressure (mmHg)	35-40 mmHg				n.d.
RA pressure (mmHg)	0-5 mmHg				n.d.

n.d. = not done (either not clinically indicated or unable to be performed).