The problem of pregnancy complicated by chronic kidney disease

Chronic kidney disease (CKD) in high-risk pregnancies is a challenge for multidisciplinary teams of doctors. Due to the fact that the disease affects both the mother and the fetus, and the course of the pregnancy. The following article reviews the literature about the interaction between pregnancy...

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Main Authors: Rafal Oleszczuk, Iga Kozińska, Anna Oleszczuk, Agnieszka M. Grzebalska
Format: Article
Language:English
Published: Kazimierz Wielki University 2022-10-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/40626
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author Rafal Oleszczuk
Iga Kozińska
Anna Oleszczuk
Agnieszka M. Grzebalska
author_facet Rafal Oleszczuk
Iga Kozińska
Anna Oleszczuk
Agnieszka M. Grzebalska
author_sort Rafal Oleszczuk
collection DOAJ
description Chronic kidney disease (CKD) in high-risk pregnancies is a challenge for multidisciplinary teams of doctors. Due to the fact that the disease affects both the mother and the fetus, and the course of the pregnancy. The following article reviews the literature about the interaction between pregnancy and CKD and dialysis therapy. Even pregnancy itself can lead to a worsening of kidney dysfunction. The risk of this consequence increases with the degree of renal failure, therefore renal parameters and other pregnancy test results should be monitored. On the other hand, the most common complications of chronic kidney disease in pregnancy described in the literature include pre-eclampsia, preterm labor, intrauterine growth restriction (IUGR) or low birth weight, surgical delivery by caesarean section and miscarriage. Dialysis therapy also leads to abnormalities in the course of pregnancy, and patients require constant monitoring during its course. Attention is also drawn to the high percentage of newborns requiring intensive postpartum care. Due to the risk for the fetus and mother mentioned in the article, nephrologists and gynecologists should cooperate closely from the pre-contraceptive period in order to reduce the risk of sequelae and better control of the underlying disease.
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spelling doaj.art-463917dcdffd4a7cbcd76d1df6e400b62022-12-22T04:38:38ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062022-10-01121010.12775/JEHS.2022.12.10.026The problem of pregnancy complicated by chronic kidney diseaseRafal Oleszczuk0Iga Kozińska1Anna Oleszczuk2Agnieszka M. Grzebalska3Medical University of LublinMedical University of LublinMedical University of LublinMedical University of Lublin Chronic kidney disease (CKD) in high-risk pregnancies is a challenge for multidisciplinary teams of doctors. Due to the fact that the disease affects both the mother and the fetus, and the course of the pregnancy. The following article reviews the literature about the interaction between pregnancy and CKD and dialysis therapy. Even pregnancy itself can lead to a worsening of kidney dysfunction. The risk of this consequence increases with the degree of renal failure, therefore renal parameters and other pregnancy test results should be monitored. On the other hand, the most common complications of chronic kidney disease in pregnancy described in the literature include pre-eclampsia, preterm labor, intrauterine growth restriction (IUGR) or low birth weight, surgical delivery by caesarean section and miscarriage. Dialysis therapy also leads to abnormalities in the course of pregnancy, and patients require constant monitoring during its course. Attention is also drawn to the high percentage of newborns requiring intensive postpartum care. Due to the risk for the fetus and mother mentioned in the article, nephrologists and gynecologists should cooperate closely from the pre-contraceptive period in order to reduce the risk of sequelae and better control of the underlying disease. https://apcz.umk.pl/JEHS/article/view/40626chronic kidney diseasepregnancydialysis
spellingShingle Rafal Oleszczuk
Iga Kozińska
Anna Oleszczuk
Agnieszka M. Grzebalska
The problem of pregnancy complicated by chronic kidney disease
Journal of Education, Health and Sport
chronic kidney disease
pregnancy
dialysis
title The problem of pregnancy complicated by chronic kidney disease
title_full The problem of pregnancy complicated by chronic kidney disease
title_fullStr The problem of pregnancy complicated by chronic kidney disease
title_full_unstemmed The problem of pregnancy complicated by chronic kidney disease
title_short The problem of pregnancy complicated by chronic kidney disease
title_sort problem of pregnancy complicated by chronic kidney disease
topic chronic kidney disease
pregnancy
dialysis
url https://apcz.umk.pl/JEHS/article/view/40626
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