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Pregnancy in Chronic Kidney Disease

  • Weichun HeEmail author
Chapter

Abstract

Although the pregnancy rate of women with chronic kidney disease (CKD) and the overall survival rate of their fetuses have improved, pregnancy in women with CKD still have a high risk of adverse maternal and fetal outcomes. To achieve better outcomes for this particular population, managing pregnancy in women with CKD has become a considerable challenge shared by both nephrologists and obstetricians. Strengthened management, including prepregnancy preparation, pregnancy management, peripartum management, and postpartum care, could prevent or mitigate maternal renal damage and adverse maternal and fetal outcomes. Women with CKD require risk assessment of pregnancy before conceiving, close follow-up by both nephrologists and obstetricians to monitor disease activity and detect obstetric complications during pregnancy, evaluation of indications for termination of pregnancy and selection of delivery mode, and assessment of disease activity and emotional support to prevent depression after delivery.

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Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  1. 1.Centre for Kidney DiseaseSecond Affiliated Hospital, Nanjing Medical UniversityNanjingChina

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