Pre-pregnancy counseling for women with chronic kidney disease

被引:36
作者
Bramham, Kate [2 ]
Lightstone, Liz [1 ]
机构
[1] Univ London Imperial Coll Sci Technol & Med, Hammersmith Hosp, Renal Sect,Dept Med, Fac Med, London W12 0NN, England
[2] Kings Coll London, Div Womens Hlth, Womens Hlth Acad Ctr, London WC2R 2LS, England
关键词
CKD; Lupus nephritis; Pre-pregnancy counseling; Transplant; SYSTEMIC-LUPUS-ERYTHEMATOSUS; PREGNANCY OUTCOMES; TRANSPLANT RECIPIENTS; RENAL-DISEASE; INTRAVENOUS CYCLOPHOSPHAMIDE; PERITONEAL-DIALYSIS; FETAL; PREDICTORS; NEPHRITIS; HEMODIALYSIS;
D O I
10.5301/jn.5000130
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Pre-pregnancy counseling should be available for all women with chronic kidney disease (CKD) so that conception occurs at the right time in the course of their disease and while they are on the right medications, with the aims of minimizing risks for both mother and fetus. Key areas to consider are the factors which are associated with worse prognosis and the influence of underlying kidney conditions and their treatment, in particular lupus nephritis, advanced renal impairment and transplantation. This experience-based review provides a guide to clinicians managing women with CKD, before and during their pregnancy.
引用
收藏
页码:450 / 459
页数:10
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