18. Renal Disease
- John T. Queenan MD2,
- Catherine Y. Spong MD3,
- Charles J. Lockwood MD4
Published Online: 4 JAN 2012
DOI: 10.1002/9781119963783.ch18
Copyright © 2012 John Wiley and Sons, Ltd
Book Title
Queenan's Management of High-Risk Pregnancy: An Evidence-Based Approach, Sixth Edition
Additional Information
How to Cite
Jones, D. C. (2012) Renal Disease, in Queenan's Management of High-Risk Pregnancy: An Evidence-Based Approach, Sixth Edition (eds J. T. Queenan, C. Y. Spong and C. J. Lockwood), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781119963783.ch18
Editor Information
- 2
Department of Obstetrics and Gynecology, Georgetown University School of Medicine, Washington, DC, USA
- 3
Bethesda, MD, USA
- 4
Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA
Publication History
- Published Online: 4 JAN 2012
- Published Print: 24 FEB 2012
ISBN Information
Print ISBN: 9780470655764
Online ISBN: 9781119963783
- Summary
- Chapter
- References
Keywords:
- renal disease, risks for fetus, mother;
- maternal renal disease, during pregnancy;
- renal function, and physiological changes;
- vasopressin production, increase in pregnancy;
- renal disease in pregnancy, primary and secondary;
- urinary tract, anatomic changes;
- proteinuria, indicative of renal disease;
- moderate, severe renal insufficiency;
- glomerular filtration rate changes, in primary renal disease;
- dialysis, with renal disease progression
Summary
The presence of maternal renal disease during pregnancy carries risks for both the fetus and the mother. However, over the past 30 years, an improved understanding of the nature of those risks and how they can be best mitigated has led to a change in attitude. This change was summed up in the editorial comment “Children of women with renal disease used to be born dangerously or not at all – not at all if their doctors had their way.” This has been replaced by the recognition that through careful management, the majority of affected women with all but the most severe renal disease have a high likelihood of a successful pregnancy.