The crucial role of the nephrologist in the management of pregnancy in women with adult autosomal dominant polycystic kidney disease
Autosomal dominant polycystic kidney disease (ADPKD) is a genetic kidney disease characterized by gradual kidney enlargement and progressive renal function loss. Pregnancy is a significant risk factor for adverse maternal and fetal outcomes in chronic kidney disease (CKD), regardless of the nephropa...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | Italian |
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AboutScience Srl
2023-09-01
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| Series: | Giornale di Clinica Nefrologia e Dialisi |
| Subjects: | |
| Online Access: | https://journals.aboutscience.eu/index.php/gcnd/article/view/2628 |
| _version_ | 1797667172873404416 |
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| author | Francesca Tunesi Liliana Italia De Rosa Martina Catania Marta Vespa Kristiana Kola Giuseppe Vezzoli Donatella Spotti Micaela Petrone Marco Simonini Chiara Livia Lanzani Maria Teresa Sciarrone Aliprandi |
| author_facet | Francesca Tunesi Liliana Italia De Rosa Martina Catania Marta Vespa Kristiana Kola Giuseppe Vezzoli Donatella Spotti Micaela Petrone Marco Simonini Chiara Livia Lanzani Maria Teresa Sciarrone Aliprandi |
| author_sort | Francesca Tunesi |
| collection | DOAJ |
| description | Autosomal dominant polycystic kidney disease (ADPKD) is a genetic kidney disease characterized by gradual kidney enlargement and progressive renal function loss. Pregnancy is a significant risk factor for adverse maternal and fetal outcomes in chronic kidney disease (CKD), regardless of the nephropathy. Women with ADPKD often face concerns about worsening their renal condition and passing the disease on to their offspring. Recent studies show better outcomes due to improved pregnancy surveillance and prior counseling. Risk factors for poor fetal and maternal outcomes include advanced maternal age, pre-existing hypertension, urinary infections, proteinuria, and renal failure.
Collaboration between nephrologists and gynecologists is essential for addressing clinically significant concerns in pregnant women with ADPKD. Nephrologists should play an active role in assisting and supporting pregnant ADPKD patients as part of a multidisciplinary team.
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| first_indexed | 2024-03-11T20:09:26Z |
| format | Article |
| id | doaj.art-5a1a64027424451c9442fa9f82633577 |
| institution | Directory Open Access Journal |
| issn | 2705-0076 |
| language | Italian |
| last_indexed | 2024-03-11T20:09:26Z |
| publishDate | 2023-09-01 |
| publisher | AboutScience Srl |
| record_format | Article |
| series | Giornale di Clinica Nefrologia e Dialisi |
| spelling | doaj.art-5a1a64027424451c9442fa9f826335772023-10-03T12:48:12ZitaAboutScience SrlGiornale di Clinica Nefrologia e Dialisi2705-00762023-09-0135110.33393/gcnd.2023.2628The crucial role of the nephrologist in the management of pregnancy in women with adult autosomal dominant polycystic kidney diseaseFrancesca Tunesi0Liliana Italia De Rosa1Martina Catania2Marta Vespa3Kristiana Kola4Giuseppe Vezzoli5Donatella Spotti6Micaela Petrone7Marco Simonini8Chiara Livia Lanzani9Maria Teresa Sciarrone Aliprandi10U.O. Nefrologia e dialisi, IRCCS Ospedale San Raffaele, Milano - Italy; Università Vita Salute San Raffaele, Milano - ItalyU.O. Nefrologia e dialisi, IRCCS Ospedale San Raffaele, Milano - Italy; Università Vita Salute San Raffaele, Milano - ItalyU.O. Nefrologia e dialisi, IRCCS Ospedale San Raffaele, Milano - Italy; Università Vita Salute San Raffaele, Milano - ItalyU.O. Nefrologia e dialisi, IRCCS Ospedale San Raffaele, Milano - Italy; Università Vita Salute San Raffaele, Milano - ItalyU.O. Nefrologia e dialisi, IRCCS Ospedale San Raffaele, Milano - Italy; Università Vita Salute San Raffaele, Milano - ItalyU.O. Nefrologia e dialisi, IRCCS Ospedale San Raffaele, Milano - Italy; Università Vita Salute San Raffaele, Milano - ItalyU.O. Nefrologia e dialisi, IRCCS Ospedale San Raffaele, Milano - Italy; Università Vita Salute San Raffaele, Milano - ItalyU.O. Ginecologia e Ostetricia, IRCCS Ospedale San Raffaele, Milano - Italy; Università Vita Salute San Raffaele, Milano - ItalyU.O. Nefrologia e dialisi, IRCCS Ospedale San Raffaele, Milano - Italy; Università Vita Salute San Raffaele, Milano - ItalyU.O. Nefrologia e dialisi, IRCCS Ospedale San Raffaele, Milano - Italy; Università Vita Salute San Raffaele, Milano - ItalyU.O. Nefrologia e dialisi, IRCCS Ospedale San Raffaele, Milano - Italy; Università Vita Salute San Raffaele, Milano - ItalyAutosomal dominant polycystic kidney disease (ADPKD) is a genetic kidney disease characterized by gradual kidney enlargement and progressive renal function loss. Pregnancy is a significant risk factor for adverse maternal and fetal outcomes in chronic kidney disease (CKD), regardless of the nephropathy. Women with ADPKD often face concerns about worsening their renal condition and passing the disease on to their offspring. Recent studies show better outcomes due to improved pregnancy surveillance and prior counseling. Risk factors for poor fetal and maternal outcomes include advanced maternal age, pre-existing hypertension, urinary infections, proteinuria, and renal failure. Collaboration between nephrologists and gynecologists is essential for addressing clinically significant concerns in pregnant women with ADPKD. Nephrologists should play an active role in assisting and supporting pregnant ADPKD patients as part of a multidisciplinary team. https://journals.aboutscience.eu/index.php/gcnd/article/view/2628APDKDCounselingCKDPregnancy |
| spellingShingle | Francesca Tunesi Liliana Italia De Rosa Martina Catania Marta Vespa Kristiana Kola Giuseppe Vezzoli Donatella Spotti Micaela Petrone Marco Simonini Chiara Livia Lanzani Maria Teresa Sciarrone Aliprandi The crucial role of the nephrologist in the management of pregnancy in women with adult autosomal dominant polycystic kidney disease Giornale di Clinica Nefrologia e Dialisi APDKD Counseling CKD Pregnancy |
| title | The crucial role of the nephrologist in the management of pregnancy in women with adult autosomal dominant polycystic kidney disease |
| title_full | The crucial role of the nephrologist in the management of pregnancy in women with adult autosomal dominant polycystic kidney disease |
| title_fullStr | The crucial role of the nephrologist in the management of pregnancy in women with adult autosomal dominant polycystic kidney disease |
| title_full_unstemmed | The crucial role of the nephrologist in the management of pregnancy in women with adult autosomal dominant polycystic kidney disease |
| title_short | The crucial role of the nephrologist in the management of pregnancy in women with adult autosomal dominant polycystic kidney disease |
| title_sort | crucial role of the nephrologist in the management of pregnancy in women with adult autosomal dominant polycystic kidney disease |
| topic | APDKD Counseling CKD Pregnancy |
| url | https://journals.aboutscience.eu/index.php/gcnd/article/view/2628 |
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