Pregnancy in women with renal disease. Part I: general principles

American Journal of Perinatology
Alex C VidaeffSusan M Ramin

Abstract

The purpose of this review is to improve the basis upon which advice on pregnancy is given to women with renal disease and to address issues of obstetric management by drawing upon the accumulated world experience. To ensure the proper rapport between the respect for patient's autonomy and the ethical principle of beneficence, the review attempts to impart up-to-date, evidence-based information on the predictable outcomes and hazards of pregnancy in women with chronic renal disease. The physiology of pregnancy from the perspective of the affected kidney will be discussed as well as the principal predictors of maternal and fetal outcomes and general recommendations of management. The available evidence supports the implication that the degree of renal function impairment is the major determinant for pregnancy outcome. In addition, the presence of hypertension further compounds the risks. On the contrary, the degree of proteinuria does not demonstrate a linear correlation with obstetric outcomes. Management and outcome of pregnancies occurring in women on dialysis and after renal transplant are also discussed. Although the outcome of pregnancies under chronic dialysis has markedly improved in the past decade, the chances of achie...Continue Reading

Citations

May 25, 2010·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Kinga A SzucsMarc B Rosenman
Jan 15, 2013·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Giorgina B PiccoliTullia Todros
Jul 28, 2010·Clinical Obstetrics and Gynecology·Jaclyn Coletta, Lynn L Simpson
Dec 8, 2009·Clinical Journal of the American Society of Nephrology : CJASN·Giorgina Barbara PiccoliTullia Todros
Apr 13, 2010·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Claudio LudersJoão Egidio Romão
Jun 3, 2015·Clinical Kidney Journal·Gianfranco ManiscoLuigi Vernaglione
Jan 15, 2014·Journal of Pain and Symptom Management·Mi-Kyung SongGerald A Hladik
Oct 25, 2016·Seminars in Dialysis·Songul OnderRebecca J Schmidt
Jun 22, 2011·Kidney & Blood Pressure Research·Giuseppe CastellanoLoreto Gesualdo
Jun 11, 2009·Current Opinion in Organ Transplantation·Mareena S ZachariahRocco C Venuto
Oct 22, 2015·Clinical Journal of the American Society of Nephrology : CJASN·Jing-Jing ZhangHong Zhang
Feb 19, 2020·Hypertension in Pregnancy : Official Journal of the International Society for the Study of Hypertension in Pregnancy·Riza MadazlıNurhan Seyahi

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.

Related Papers

Thoracic Surgery Clinics
Sharon ReynoldsMartin McKneally
JAMA : the Journal of the American Medical Association
Lewis M CohenDavid M Poppel
Journal of Palliative Medicine
Lewis M CohenMichael J Germain
© 2022 Meta ULC. All rights reserved