A prenatal appointment for a 31-year-old woman who is gravida 3 para 2 and 28 weeks pregnant takes place in the office. During this pregnancy, her persistent hypertension has been under good control. Her blood pressure during the patient's previous prenatal appointments ranged from 120/70 to 130/80 mm Hg. Her blood pressure is 150/100 mm Hg right now, and it was previously 152/98 mm Hg. 24 cm is the fundal height. Protein levels in urine are 2+. A fetus with growth limitation and oligohydramnios are seen on a transabdominal ultrasonography. Compared to normal placental parameters, this patient most likely has which of the following hemodynamic changes?

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Eductional Objective: Due to aberrant placental spiral artery development, which results in increased placental vascular resistance, decreased uteroplacental perfusion, and decreased umbilical vein oxygen delivery, patients with preeclampsia are at risk for fetal growth restriction and oligohydramnios.

A Prenatal Appointment for a 31-Year-Old Woman Who Is Gravida