Pregnancy in renal disease

Pregnancy in renal disease

Woman,suffering from chronic kidney disease should consult with a nephrologist andobstetrician-gynecologist in the period of pregnancy planning. According to the testimony it may be referred to a specialist examination department of the hospital where the check renal function.

When can I get pregnant?

If it appears that the kidneys are not completely removed from the body metabolic products or pregnant or give birth impossible. In the body, there is an accumulation of harmful substances, which leads to irreversible changes in all organs and tissues, and in severe cases — even death of the fetus and the woman.

  • A thorough examination must pass a woman suffering glomerulonephritis. Typically, even while maintaining renal function, pregnancy only valid when disease is under constant compensation, that is a long time without relapse occurs and not accompanied by an increase in blood pressure. It is known that if in glomerulonephritis blood pressure before pregnancy was increased periodically, the pregnancy is much greater (with a very high blood pressure), and it is often necessary to interrupt after 20-22 weeks.
  • So many doctors consider the circumstances before allowing a woman to give birth, which removed one kidney. This question is answered positively, if the remaining kidney perfectly healthy and compensates the work of the remote andif has passed after the operation of at least 1-2 years.
  • Women with congenital malformations of the kidney or renal vessels are allowed to gestate pregnancy Only after the surgery, correcting these defects.
  • Pyelonephritis can become pregnant only in the absence of exacerbations.

When in such diseases there is a desire to have a baby, do not neglect their own health and life. Because if contraindication show up during the pregnancy, it will have to stop, which in turn can lead to an exacerbation of the disease with severe consequences.

If pregnancy not contraindicated, immediately after its occurrence refer to the antenatal clinic. Obstetrician-gynecologist and nephrologist should know, what was the function of the kidneys in early pregnancy to properly judge its changes during the nine months. A woman should always be under the supervision of physicians, occasionally it will be admitted to the hospital for examination and treatment.

How does pregnancy affect kidney disease?

During pregnancy, there may be an exacerbation of chronic pyelonephritis, glomerulonephritis, kidney stones. Exacerbation may happen very early in pregnancy, often — in15-16 weeks. If you have pain in your lower back, swelling of the hands and feet, there is a delay and reduce the amount of urine, pain while urinating — see a doctor immediately. In such cases immediate hospitalization.

However, the most frequent exacerbation occurs between 26 and 30 weeks, when intense growing uterus begins to squeeze the ureters. As a result of disrupted the flow of urine, kidney infection is activated.

What is the impact of kidney disease on pregnancy?

Pregnancy against kidney disease is often complicated by the second half of toxemia (preeclampsia), who runs hard and difficult to treat. Very often develop anemia during pregnancy, impaired function of the placenta. All this may lead to violations of fetal development.

How are labor?

At 36 weeks pregnant should be admitted to the maternity ward to prepare for the birth. Conducting preventive treatment aimed at improving the status of the fetus, the prevention of maternal complications during the postpartum period.

Deliveries are carried out through the birth canal, with the introduction of antispasmodics, means that reduce blood pressure, pain. Cesarean section is performed with concomitant obstetric complications.

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