• haemodialysis;
  • immunosuppressants;
  • peritoneal dialysis;
  • pregnancy outcome;
  • proteinuria;
  • renal transplant
  • • 
    A multidisciplinary team should manage pregnancy in women with chronic renal disease.
  • • 
    The outcome is dependent upon prepregnancy renal function and the presence of hypertension and proteinuria.
  • • 
    Women on dialysis and renal transplant recipients form a special group that needs expert care during pregnancy.

Learning objectives:

  • • 
    To understand the basic principles in prepregnancy counselling of women with chronic renal disease.
  • • 
    To be aware of the risks to the pregnancy as well as to long-term renal function.

Ethical issues:

  • • 
    The risks of serious complications and adverse effects on long-term health raise complex ethical issues for the health professionals who counsel women with chronic renal disease and look after them during pregnancy.

Please cite this article as: Kapoor N, Makanjuola D, Shehata H. Management of women with chronic renal disease in pregnancy. The Obstetrician & Gynaecologist 2009;11:185–191.