Management of renal disease in pregnancy.
Although renal disease in pregnancy is uncommon, it poses considerable risk to maternal and fetal health. This article discusses renal physiology and assessment of renal function in pregnancy and the effect of pregnancy on renal disease in patients with diabetes, lupus, chronic glomerulonephritis, polycystic kidney disease, and chronic pyelonephritis. Renal diseases occasionally present for the first time in pregnancy, and diagnoses of glomerulonephritis, acute tubular necrosis, hemolytic uremic syndrome, and acute fatty liver of pregnancy are described. Finally, therapy of end-stage renal disease in pregnancy, dialysis, and renal transplantation are reviewed.
Podymow
Tiina
T
Division of Nephrology, McGill University, 687 Pine Avenue West Ross 2.38, Montreal, QC H3A 1A1, Canada.
August
Phyllis
P
Akbari
Ayub
A
D000136:Acid-Base Equilibrium; D001834:Body Water; D002908:Chronic Disease; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007668:Kidney / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology; D007674:Kidney Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D007676:Kidney Failure, Chronic / Q000628:therapy; D016030:Kidney Transplantation; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000628:therapy*; D011256:Pregnancy Outcome; D011254:Pregnancy in Diabetics; D006435:Renal Dialysis; D014882:Water-Electrolyte Balance