Renal Disorders in Pregnancy

Core Curriculum 2019

Maria L. Gonzalez Suarez, Andrea Kattah, Joseph Peter Grande, Vesna D Garovic

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

As the incidence of chronic kidney disease increases and women pursue pregnancy at more advanced ages, the management of kidney disease in pregnancy has become increasingly relevant to the practicing nephrologist. Women with kidney disorders face several challenges in pregnancy due to increased physiologic demands on the kidney and risk for disease progression, the potential teratogenicity of medications, and the increased risk for complications such as preeclampsia and preterm delivery. Challenges posed by an underlying disease process in pregnancy, such as autoimmune disease or diabetes mellitus, necessitate an interdisciplinary team to ensure good maternal and fetal outcomes. Rates of acute kidney injury in pregnancy are generally declining worldwide, but remain a significant public health concern in developing countries. Pregnancy may also be the first time that a woman has kidney disease or hypertension diagnosed. An understanding of what constitutes normal physiologic changes in pregnancy is critical in a diagnostic evaluation. In this review, we review physiologic changes in pregnancy, causes and management of acute kidney injury in pregnancy, hypertensive disorders of pregnancy, and how to care for women with chronic kidney disease of various causes, including the use of antihypertensives and immunosuppressants.

Original languageEnglish (US)
JournalAmerican Journal of Kidney Diseases
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Curriculum
Kidney
Pregnancy
Kidney Diseases
Chronic Renal Insufficiency
Acute Kidney Injury
Immunosuppressive Agents
Pre-Eclampsia
Type 1 Diabetes Mellitus
Antihypertensive Agents
Developing Countries
Autoimmune Diseases
Disease Progression
Diabetes Mellitus
Public Health
Mothers
Hypertension
Incidence

Keywords

  • acute kidney injury (AKI)
  • autoimmune disease
  • chronic kidney disease (CKD)
  • diabetes mellitus
  • dialysis
  • hypertension
  • immunosuppression
  • kidney transplantation
  • maternal fetal complications
  • preeclampsia
  • Pregnancy
  • renal disease
  • renal outcomes
  • review

ASJC Scopus subject areas

  • Nephrology

Cite this

Renal Disorders in Pregnancy : Core Curriculum 2019. / Gonzalez Suarez, Maria L.; Kattah, Andrea; Grande, Joseph Peter; Garovic, Vesna D.

In: American Journal of Kidney Diseases, 01.01.2018.

Research output: Contribution to journalArticle

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