Pregnancy in Women With CKD: A Success Story

被引:44
作者
Hall, Matthew [1 ]
机构
[1] Nottingham Univ Hosp NHS Trust, Nottingham Renal & Transplant Unit, City Campus,Hucknall Rd, Nottingham NG5 1PB, England
关键词
Pregnancy; kidney disease; renal failure; CKD; maternal; fetal; infant; neonatal; outcomes; preeclampsia; SYSTEMIC-LUPUS-ERYTHEMATOSUS; HYPERTENSIVE DISORDERS; CHILDREN BORN; PRETERM BIRTH; OUTCOMES; RISK; MALFORMATIONS; BACTERIURIA; MANAGEMENT; EXPOSURE;
D O I
10.1053/j.ajkd.2016.04.022
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
In women with chronic kidney disease (CKD), pregnancy outcomes have improved over the last 50 years, particularly in the developed world. Maternal mortality is now extremely low, fetal survival has markedly increased (even in women with CKD stages 4-5), and it is now the exception for women with CKD to be advised against embarking on a pregnancy. However, pregnancies are rarely free from complications, and there are unanswered questions about the longer term effects on maternal and infant health. The developments have led to a more optimistic attitude to pregnancy in women with CKD not requiring renal replacement treatment. The remaining problems are described in this World Kidney Forum. (C) 2016 by the National Kidney Foundation, Inc.
引用
收藏
页码:633 / 639
页数:7
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