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Chapter 47 - Chronic Renal Insufficiency in Pregnancy

from Section 7 - Hepato-Renal and Gastrointestinal Conditions in Pregnancy

Published online by Cambridge University Press:  23 February 2023

By
Tiina Podymow ,
Amira El-Messidi  and
Michelle Hladunewich
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

A 33-year-old primigravida at eight weeks’ gestation by dating sonography is referred by her primary care provider to your high-risk obstetrics unit for chronic kidney disease. She takes perindopril 8 mg daily. The patient does not have any obstetric complaints.

Keywords

PregnancyChronic renal insufficiency, chronic renal diseaseComorbiditiesFertilityPerinatal risks, complications, maternal-fetal morbidity, adverse outcomeAngiotensin-converting enzyme inhibitor (ACEi)Blood pressure controlInvestigations, prenatalPreeclampsiaMagnesium sulfate with renal dysfunctionAntepartum, intrapartum, postpartum managementContraception
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 595 - 604
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

Gonzalez Suarez, ML, Kattah, A, Grande, JP, et al. Renal Disorders in Pregnancy: Core Curriculum 2019. Am J Kidney Dis. 2019;73(1):119–130. [Correction in Am J Kidney Dis. 2019 Jun;73(6):897]Google Scholar
Hladunewich, MA, Melamed, N, Bramham, K. Pregnancy across the spectrum of chronic kidney disease. Kidney Int. 2016;89(5):995–1007Google Scholar
Hui, D, Hladunewich, MA. Chronic kidney disease and pregnancy. Obstet Gynecol 2019; 133: 1182–1194Google Scholar
Piccoli, GB, Cabiddu, G, Attini, R, et al. Risk of Adverse Pregnancy Outcomes in Women with CKD. J Am Soc Nephrol. 2015 Aug;26(8):2011–2022.Google Scholar
Imbasciati, E, Gregorini, G, Cabiddu, G, et al. Pregnancy in CKD stages 3 to 5: fetal and maternal outcomes. Am J Kidney Dis. 2007;49(6):753–762.Google Scholar
Jones, DC, Hayslett, JP. Outcome of pregnancy in women with moderate or severe renal insufficiency. N Engl J Med. 1996;335(4):226–232.Google Scholar
Wiles, K, Chappell, L, Clark, K, et al. Clinical practice guideline on pregnancy and renal disease. BMC Nephrol. 2019;20(1):401.Google Scholar

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