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PATHOPHYSIOLOGY
Precipitating factor: Obesity Poor maternal nutrition Pre-existing hypertension Renal disease Defective placental implantation Endovascular trophoblastic cells invade the maternal spiral arteries Release of placental factor Fibrin, platelets and lipophages aggregates
Replacement of endothelium, destruction of medical musculoelastic tissue, and fibrinoid change in the vessel wall
Increased thrombosane Placental infraction vasospasm Fetal distress Endothelial dysfunction Fetal death
Placental ischemia
Hypertension
vasoconstiction
kidney
Decrease GFR
proteinuria
edema