Renal Changes in Pregnancy Flashcards
1
Q
What are the changes to the shape and size of the kidneys during pregnancy?
A
No change to number of nephrons or histology appearance
2cm increase in size
30% in renal volume
Hydroureter and hydronephrosis (more common on right side)
2
Q
What are the changes to renal function during pregnancy?
A
Increased renal blood flow
Increased glomerular filtration (40%)
Increased clearance of urea and creatinine
3
Q
What are the changes to protein excretion during pregnancy?
A
Urine protein excretion increases in the third trimester
4
Q
At how many weeks gestation is foetal urine the major contributor to amniotic fluid volume?
A
18 weeks gestation
5
Q
What level of urinary protein excretion indicates a significant level of proteinuria?
A
> 0.3g/24 hours
