Skip to main content
SpringerLink
Log in

Renal Function and Volume Homeostasis during Pregnancy

  • Chapter
Principles of Medical Therapy in Pregnancy

  • 26 Accesses

Abstract

This section focuses on the striking alterations in renal function and body fluid composition that take place during normal pregnancy. As will become clear, such alterations have a number of important implications for the physician caring for pregnant women.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Bailey RR, Rolleston GL: Kidney length and ureteric dilatation in the puerperium. J Obstet Gynaecol Br Commonw 78: 55–61, 1971

    Article  PubMed  CAS  Google Scholar 

  2. Dure-Smith P: Pregnancy dilatation of the urinary tract. The iliac sign and its significance,. Radiology 96: 545–550, 1970

    PubMed  CAS  Google Scholar 

  3. Fried AM: Hydronephrosis of pregnancy: Ultrasonographic study and classification of asymptomatic women. Am J Obstet Gynecol 135: 1066–1070, 1979

    PubMed  CAS  Google Scholar 

  4. Lindheimer MD, Katz Al: Renal Function and Disease in Pregnancy, Philadelphia, Lea & Febiger, 1977

    Google Scholar 

  5. Lindheimer MD, Katz AI: The renal response to pregnancy, in Brenner BM, Rector FC (eds): The Kidney, ed 2. Philadelphia, WB Saunders, 1981, pp 1762–1815

    Google Scholar 

  6. Davison JM, Dunlop W: Renal hemodynamics and tubular function in normal human pregnancy. Kidney Int 18: 152–161, 1980

    Article  PubMed  CAS  Google Scholar 

  7. Hytten FE: The renal excretion of nutrients in pregnancy. Postgrad Med J 49: 625–629, 1973

    Article  PubMed  CAS  Google Scholar 

  8. Lim VS, Katz AI, Lindheimer MD: Acid-base regulation in pregnancy. Am J Physiol 231: 1764–1770, 1976

    PubMed  CAS  Google Scholar 

  9. Davison JM, Vallotton MB, Lindheimer MD: Plasma os-molality and urinary concentration and dilution during and after pregnancy: Evidence that lateral recumbency inhibits maximal urinary concentrating ability. Br J Obstet Gynaecol 88: 472–479, 1981

    Article  PubMed  CAS  Google Scholar 

  10. Barron WM, Lindheimer MD: Renal sodium and water handling in pregnancy. Obstet Gynecol Annu 13: 35–69, 1984

    PubMed  CAS  Google Scholar 

  11. Davison JM, Gilmore EA, Durr J, et al: Altered osmotic thresholds for vasopressin secretion and thirst in human pregnancy. Am J Physiol 246: 105–109, 1984

    Google Scholar 

  12. Barron WM, Stamoutsos BA, Lindheimer MD: Role of volume in the regulation of vasopressin secretion during pregnancy in the rat. J Clin Invest 73: 923–932, 1984

    Article  PubMed  CAS  Google Scholar 

  13. Lindheimer MD, Weston PV: Effect of hypotonic expansion on sodium, water and urea excretion in late pregnancy: The influence of posture on these results. J Clin Invest 48: 947–956, 1969

    Article  PubMed  CAS  Google Scholar 

  14. Thomson AM, Billewicz: Clinical significance of weight trends during pregnancy. Br Med J 1: 243–247, 1957

    Article  PubMed  Google Scholar 

  15. Hytten FE: Weight gain in pregnancy, in Hytten F, Chamberlain G (eds): Clinical Physiology in Obstetrics. Oxford, Blackwell Scientific Publications, 1981, pp 193–233

    Google Scholar 

  16. Chesley LC: Hypertensive Disorders of Pregnancy. New York, Appleton-Century-Crofts, 1978, pp 190–228

    Google Scholar 

  17. Weinberger MH, Kramer NJ, Petersen LP, et al: Sequential changes in the renin-angiotensin-aldosterone systems and plasma progesterone concentration in normal and abnormal human pregnancy, in Lindheimer MD, Katz AI, Zuspan FP (eds): Hypertension in Pregnancy. New York, John Wiley & Sons, 1976, pp 263–268

    Google Scholar 

  18. Katz AI, Lindheimer MD: Actions of hormones on the kidney. Annu Rev Physiol 39: 97–133, 1977

    Article  PubMed  CAS  Google Scholar 

  19. Editorial: Pregnancy and the arachidonic-acid cascade. Lancet 1: 997–998, 1982

    Google Scholar 

  20. Bay WH, Ferris TF: Factors controlling plasma renin and aldosterone in pregnancy. Hypertension 1: 410–415, 1979

    PubMed  CAS  Google Scholar 

  21. Nolten WE, Ehrlich EN: Sodium and mineralocorticoids in normal pregnancy. Kidney Int 18: 162–172, 1980

    Article  PubMed  CAS  Google Scholar 

  22. Winkel CA, Milewich L, Parker R Jr, et al: Conversion of plasma progesterone to deoxycorticosterone in men, nonpregnant and pregnant women and adrenalectomized subjects. Evidence for steroid 21-hydroxylase activity in non-adrenal tissues,. J Clin Invest 66: 803–812, 1980

    Article  PubMed  CAS  Google Scholar 

  23. Casey ML, MacDonald PC: Metabolism of deoxycorticosterone and deoxycorticosterone sulfate in men and women. J Clin Invest 70: 312–319, 1982

    Article  PubMed  CAS  Google Scholar 

  24. Hsueh WA, Luetscher JA, Carlson EJ, et al: Changes in active and inactive renin throughout pregnancy. J Clin Endocrinol Metab 54: 1010–1016, 1982

    Article  PubMed  CAS  Google Scholar 

  25. Assali NS, Dignam WJ, Dasgupta K: Renal function in human pregnancy 11. Effects of venous pooling on renal hemodynamics and water electrolytes and aldosterone excretion during normal pregnancy,. J Lab Clin Med 54: 394–408, 1959

    PubMed  CAS  Google Scholar 

  26. Lindheimer MD, del Greco F, Ehrlich EN: Postural effects on Na and steroid excretion, and serum renin activity during pregnancy. J Appl Physio135: 343–348, 1973

    Google Scholar 

  27. Parboosingh J, Doig A: Studies of nocturia in normal pregnancy. J Obstet Gynaecol Br Commonw 80: 888–895, 1973

    Article  PubMed  CAS  Google Scholar 

  28. Robinson M: Salt in pregnancy. Lancet 1: 178–181, 1958

    Article  PubMed  CAS  Google Scholar 

  29. Hytten FE, Leitch 1: The Physiology of Human Pregnancy, ed 2. Oxford, Blackwell Scientific Publications, 1971

    Google Scholar 

Download references

Authors
  1. William M. Barron
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Marshall D. Lindheimer
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Rush Medical College, Chicago, Illinois, USA

    Norbert Gleicher M.D. (Professor of Obstetrics and Gynecology and Assistant Professor of Immunology/Microbiology, Chairman) (Professor of Obstetrics and Gynecology and Assistant Professor of Immunology/Microbiology, Chairman)

  2. Department of Obstetrics and Gynecology, Mount Sinai Hospital Medical Center, Chicago, Illinois, USA

    Norbert Gleicher M.D. (Professor of Obstetrics and Gynecology and Assistant Professor of Immunology/Microbiology, Chairman) (Professor of Obstetrics and Gynecology and Assistant Professor of Immunology/Microbiology, Chairman)

Rights and permissions

Reprints and permissions

Copyright information

© 1985 Plenum Publishing Corporation

About this chapter

Cite this chapter

Barron, W.M., Lindheimer, M.D. (1985). Renal Function and Volume Homeostasis during Pregnancy. In: Gleicher, N. (eds) Principles of Medical Therapy in Pregnancy. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2415-7_120

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-2415-7_120

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-9471-9

  • Online ISBN: 978-1-4613-2415-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation