Peer-Reviewed Journal Details
Mandatory Fields
Smyth, A,Radovic, M,Garovic, VD
2013
September
Advances In Chronic Kidney Disease
Women, Kidney Disease, and Pregnancy
Published
Altmetric: 10WOS: 18 ()
Optional Fields
Kidney disease Proteinuria Preeclampsia Pregnancy Glomerular disease SYSTEMIC-LUPUS-ERYTHEMATOSUS NEPHROTIC SYNDROME MYCOPHENOLATE-MOFETIL RENAL BIOPSY OUTCOMES RISK STAGE FETAL HYDROXYCHLOROQUINE NEPHROPATHY
20
402
410
Several glomerular diseases may occur in women of childbearing age. Pregnancy in such patients should be planned when the disease has been in remission for a minimum of 6 months to minimize maternal and fetal complications. Immunosuppressive agents should be optimized before conception to include those that are safe for pregnancy. The complexity of medical management when caring for these patients calls for a multidisciplinary team approach consisting of a nephrologist, rheumatologist, obstetrician, and pharmacist. This review will address the physiological changes of pregnancy that may affect glomerular disease presentation, activity, and diagnosis; specific glomerular diseases primary and secondary to systemic diseases in the context of pregnancy; fetal and maternal complications and long-term effects; diagnosis and differential diagnosis; and treatment strategies that are considered relatively safe with respect to fetal intrauterine exposure. (c) 2013 by the National Kidney Foundation, Inc. All rights reserved.
10.1053/j.ackd.2013.06.004
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