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Renal disease in pregnancy

Published online by Cambridge University Press:  10 October 2008

Priscilla Kincaid-Smith  and
Kenneth Fairley
Priscilla Kincaid-Smith*
Affiliation:
Department of Medicine, University of Melbourne, Australia
Kenneth Fairley*
Affiliation:
Department of Medicine, University of Melbourne, Australia
*
Professor P Kincaid-Smith, Department of Nephrology, The Royal Melbourne Hospital, Parkville, 3050, Victoria, Australia.
Professor P Kincaid-Smith, Department of Nephrology, The Royal Melbourne Hospital, Parkville, 3050, Victoria, Australia.
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Extract

There is an intimate relationship between the kidney and pregnancy. Renal plasma flow increases by 50–70% during a normal pregnancy and the glomerular filtration rate by about 50%.1 These changes commence in the first trimester and fall in the last trimester reaching normal levels within about four weeks postpartum. These physiological changes are accompanied by striking anatomical changes which consist of dilatation of the ureter, pelvis and calyces, together with an increase in renal parenchymal size. The dilatation i s more marked on the right and may appear in the first trimester. At term, 90% of pregnant women show this change.2

Type
Articles
Information
Fetal and Maternal Medicine Review , Volume 1 , Issue 2 , July 1989 , pp. 177 - 192
Copyright
Copyright © Cambridge University Press 1989

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