Women, Kidney Disease, and Pregnancy

Overview

Journal Adv Chronic Kidney Dis

Specialty Nephrology

Date 2013 Aug 28

PMID 23978545

Citations 13

Authors

Andrew Smyth

Milan Radovic

Vesna D Garovic

Affiliations

Soon will be listed here.

Abstract

Several glomerular diseases may occur in women of childbearing age. Pregnancy in such patients should be planned when the disease has been in remission for a minimum of 6 months to minimize maternal and fetal complications. Immunosuppressive agents should be optimized before conception to include those that are safe for pregnancy. The complexity of medical management when caring for these patients calls for a multidisciplinary team approach consisting of a nephrologist, rheumatologist, obstetrician, and pharmacist. This review will address the physiological changes of pregnancy that may affect glomerular disease presentation, activity, and diagnosis; specific glomerular diseases primary and secondary to systemic diseases in the context of pregnancy; fetal and maternal complications and long-term effects; diagnosis and differential diagnosis; and treatment strategies that are considered relatively safe with respect to fetal intrauterine exposure.

Citing Articles

Pre-gestational counselling for women living with CKD: starting from the bright side.

Da Silva I, Orozco-Guillen A, Longhitano E, Ballarin J, Piccoli G Clin Kidney J. 2024; 17(5):sfae084.

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Kidney diseases in women: difference in risks and opportunities.

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Maternal fructose intake during pregnancy and lactation: Later effects on renal function.

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Maternal and fetal outcomes of pregnancy in chronic kidney disease: diagnostic challenges, surveillance and treatment throughout the spectrum of kidney disease.

Gouveia I, Silva J, Santos C, Carvalho C J Bras Nefrol. 2021; 43(1):88-102.

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Immunosuppression in pregnant women with renal disease: review of the latest evidence in the biologics era.

Colla L, Diena D, Rossetti M, Manzione A, Marozio L, Benedetto C J Nephrol. 2018; 31(3):361-383.

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