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REVIEW ARTICLE
Year : 2016  |  Volume : 3  |  Issue : 2  |  Page : 48-52

Chronic Kidney Disease in Pregnancy


1 Gunasheela Surgical and Maternity Hospital, Department of Obstetrics and Gynecology, Bangalore, India
2 Division of Nephrology, Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada
3 Division of Nephrology, Department of Medicine, University of Ottawa; Kidney Research Centre, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
4 Division of Nephrology, Department of Medicine, University of Ottawa; Kidney Research Centre, Ottawa Hospital Research Institute; Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada

Correspondence Address:
Ayub Akbari
The Ottawa Hospital, Riverside Campus, 1967 Riverside Drive, Ottawa, ON, K1H 7W9
Canada
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2394-2916.181218

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Pregnancy with chronic kidney disease carries substantial risk to the mother and the baby. Incidence of women becoming pregnant while having chronic kidney disease is increasing. The major risk to the mother is development of preeclampsia which may be hard to diagnose in patients with chronic kidney disease. Depending on the kidney function, women may also be at risk of decline in their kidney function. The major risk to baby is prematurity. The renal physiological changes that occur with pregnancy are quite profound and normal values of blood pressure, electrolytes and parameters to monitor kidney function are different then in non-pregnant state. Counselling these women about pregnancy and managing them through pregnancy remains a challenge. This review discusses the physiological changes that occur during pregnancy, risks of pregnancy with CKD and management of CKD during pregnancy.


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