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Gynaecology & Obstetrics General 2df89171

All of the following are physiological changes which occur during pregnancy, EXCEPT:

A
Reabsorption of glucose decreases
B
Creatinine decreases
C
Urea decreases
D
Decrease in renal plasma flow
High-Yield Explanation
During pregnancy the renal plasma flow is increased by 50- 75%. It reaches the maximum value by 16 weeks and is maintained until 34 weeks. During pregnancy: Kidney enlarges in length by 1cm. GFR is increased by 50%. Increase in GFR causes reduction in maternal plasma level of creatinine, BUN and uric acid. Ureter becomes atonic, there is elongation, kinking and outward displacement of the ureter. Urinary bladder: Becomes congested with hyperophy of the muscles and elastic tissues of the wall. Ref: Textbook of Obstetrics By D C Dutta, 6th edn, page 55-6

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