PATHOPHYSIOLOGY

Hormonal
changes

Renal problem

Normal
progesterone

Decreased
platelet
count

Risk for
bleeding

Insufficient
insulin

Rejection
of insulin

Teenage

Above
35 y/o

action
Insulin
antagonist

Fluid deficit

Alteration in the functioning of

the kidney

Altered
blood
productio
n

Polyhydramnios

Age factors

and multifetal
gestation

Alteration on the
bodys equilibruim

Malnutrition

Diabetes mellitus

Affects the
renninangiotensionaldosterone
system

Human
placental
lactogen

Abnormal
excretion
of protein

Increased blood
glucose level

Decrease glucose
reaches the cells
for consumption

Decrease cell
functioning
(including kidneys)

Hormonal incapacity

Congestion
of nearby
organs

Kidneys

Inability to adjust to
hormonal changes

Greater chances or
more severe
malnutrition and fluid
deficit

Proteinuria

Albuminemia
Increased intrauterine pressure

Fluid shifting
among
compartments

Congestion of the placenta

Edema

Hypovolemia

Aggravates
kidney
problem

Altered
skin
integrity

Decreased placental perfusion

Placental hormone
imbalance
Affects maternal
circulation

Oliguria or
anuria

Increased vascular
reistance

Hypertension

Decreased fetal
circulation

Fetal
malnutrition

Placental
infarction

SGA

Stillbirth

Hypertension

Maternal effects
KIDNEYS

BRAIN
Along with other
hormonal chnages

Damage of some parts

Hyperexcitation

More insult
to blood
regulating
system

Increased ICP

Congestion of
nerves

Convulsions

Coma

Visual
disturbances

Blurred
Halo
Dim

Blind spot

Disorientation

Severe headache

Irritability

Hyperreflexia

UTERUS

Aggravation of insult

Chemical
imbalance

Hyperirritability

Fetal effects

Damage of

Decreased
placental
perfusion

Decreased
osmolarity
Increased
edema

Decreased delivery
of oxygen and
essential nutrients

SGA

membrame

Increased
protein
excretion

Decreased
placental
circulation

oligohydr
amnios
Abruption
placentae

Shrinking
of placenta

Fetal
malnutrition