Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-05T01:12:21.907Z Has data issue: false hasContentIssue false

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
Get access

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×