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Renal Failure and Renal Replacement Therapy During Pregnancy and the Peripartum Period

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Principles and Practice of Maternal Critical Care

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Abstract

Renal failure during pregnancy and the peripartum period encompasses acute kidney injury (AKI), chronic kidney disease, and end-stage renal disease (ESRD). The epidemiology of these conditions varies worldwide. Acute kidney injury may be due to conditions specific to pregnancy, disorders that coincide with pregnancy, or an exacerbation of a pre-existing renal disorder. Management consists of prompt resuscitation of hemodynamic and fluid status, treatment of the underlying disease, and renal replacement therapy (RRT) in case of complications of AKI.

This chapter summarizes the most common causes of AKI; describes therapeutic options, including RRT; and emphasizes the need for close multidisciplinary management during the acute period and beyond.

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Author information

Authors and Affiliations

  1. Department of Intensive Care, King’s College NHS Foundation Hospital, London, UK

    Emma Roche-Kelly

  2. Department of Intensive Care, King’s College London, Guy’s & St Thomas’ NHS Foundation Hospital, London, UK

    Marlies Ostermann

Authors
  1. Emma Roche-Kelly
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  2. Marlies Ostermann
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Corresponding author

Correspondence to Marlies Ostermann .

Editor information

Editors and Affiliations

  1. Intensive Care Unit, Shaare Zedek Medical Center and Hebrew University Faculty of Medicine, Jerusalem, Israel

    Sharon Einav

  2. Division of Anesthesia, Critical Care and Pain, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel

    Carolyn F. Weiniger

  3. Department of Anesthesiology, Columbia University Medical Center, New York, NY, USA

    Ruth Landau

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Roche-Kelly, E., Ostermann, M. (2020). Renal Failure and Renal Replacement Therapy During Pregnancy and the Peripartum Period. In: Einav, S., Weiniger, C.F., Landau, R. (eds) Principles and Practice of Maternal Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-43477-9_31

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  • DOI: https://doi.org/10.1007/978-3-030-43477-9_31

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-43476-2

  • Online ISBN: 978-3-030-43477-9

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