A 28-year-old primigravida at 24 weeks gestation presents with progressive dyspnea and abdominal distension. Obstetric ultrasound confirms severe polyhydramnios (AFI 38 cm). Detailed fetal anatomic survey reveals normal cardiac, renal, and CNS structures. The structure marked **C** in the diagram—reduced fetal-placental contact—is suspected as a consequence of the excess amniotic fluid. Which of the following maternal complications is MOST directly related to the pathophysiology indicated by structure **C**?
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