Pregnancy in women with renal disease. Part II: specific underlying renal conditions.
The obstetric outcome in women with kidney disease has improved in recent years due to continuous progress in obstetrics and neonatology, as well as better medical management of hypertension and renal disease. However, every pregnancy in these women remains a high-risk pregnancy. When considering the interaction between renal disease and pregnancy, maternal outcomes are related to the initial level of renal dysfunction more than to the specific underlying disease. With regards to fetal outcomes, though, a distinction may exist between renal dysfunction resulting from primary renal disease and that in which renal involvement is part of a systemic disease. In part II of this review, some specific causes of renal failure affecting pregnancy are considered.
Vidaeff
Alex C
AC
Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, The University of Texas Medical School at Houston, Houston, Texas 77030, USA. alex.c.vidaeff@uth.tmc.edu
Yeomans
Edward R
ER
Ramin
Susan M
SM
D003404:Creatinine / Q000097:blood; D036861:Delivery, Obstetric; D003928:Diabetic Nephropathies / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D005260:Female; D046689:Fetal Mortality; D005921:Glomerulonephritis / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008181:Lupus Nephritis / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D007690:Polycystic Kidney Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D011507:Proteinuria; D014718:Vesico-Ureteral Reflux / Q000150:complications / Q000175:diagnosis / Q000628:therapy
D003404:Creatinine