The Obstetrician & Gynaecologist 2009;11:3:185-191
doi: 10.1576/toag.11.3.185.27503
Copyright © 2009 by the Royal College of Obstetricians and Gynaecologists.
Management of women with chronic renal disease in pregnancy
Nisha Kapoor, MD MRCOG, Specialist Registrar1,
David Makanjuola, MD FRCP, Consultant Renal Physician2 and
Hassan Shehata, MRCOG MRCPI, Consultant Obstetric Physician3
1. Kingston Hospital NHS Trust, Galsworthy Road, Kingston Upon Thames KT2 7QB, UK Email: nishaobgyn{at}aol.com (corresponding author)
2. South West Thames Renal and Transplant Unit, St Helier Hospital, Wrythe Lane, Carshalton SM5 1AA, UK
3. Maternal Medicine Unit, Epsom and St Helier NHS Trust, Wrythe Lane, Carshalton SM5 1AA, UK
Key content:
- A multidisciplinary team should manage pregnancy in women with chronic renal disease.
- The outcome is dependent upon prepregnancy renal function and the presence of hypertension and proteinuria.
- Women on dialysis and renal transplant recipients form a special group that needs expert care during pregnancy.
Learning objectives:
- To understand the basic principles in prepregnancy counselling of women with chronic renal disease.
- To be aware of the risks to the pregnancy as well as to long-term renal function.
Ethical issues:
- The risks of serious complications and adverse effects on long-term health raise complex ethical issues for the health professionals who counsel women with chronic renal disease and look after them during pregnancy.
Please cite this article as: Kapoor N, Makanjuola D, Shehata H. Management of women with chronic renal disease in pregnancy. The Obstetrician & Gynaecologist 2009;11:185–191.
Keywords haemodialysis / immunosuppressants / peritoneal dialysis / pregnancy outcome / proteinuria / renal transplant
Copyright © 2009 by the Royal College of Obstetricians and Gynaecologists.