Why renal htn in mother cause oligohydramnious?
Glomerular endotheliosis is the pathognomonic lesion of preeclampsia: the glomeruli are enlarged, distorted, and filled with occlusions, with hypertrophy of the intracapillary cells. Laboratory testing shows a decreased glomerular filtration rate, decreased renal blood flow, and nonselective proteinuria.
Fetal changes include intrauterine growth restriction is very common. Oligohydramnios also occurs, because the amniotic fluid is essentially fetal urine; with poor perfusion through the placenta, the fetus has diminished urine output.
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