Managing glomerular disease in pregnancy.
Publication/Presentation Date
1-1-2017
Abstract
Glomerular disease, especially lupus nephritis, is common in young women of childbearing age. As such, practicing nephrologists must have adequate knowledge and expertise to prepare these women for pregnancy, to diagnose and manage the numerous pregnancy-associated complications that are common in this vulnerable patient population and finally to support these young women who often struggle to manage both their young children along with an often onerous chronic disease. In this article we will review the pre-pregnancy counseling these women should ideally receive to allow them to make an informed decision about proceeding with a pregnancy, an approach to the diagnosis of pregnancy-associated worsening of kidney function and proteinuria as well as pregnancy-safe management strategies, including immunosuppression, antihypertensive agents and other medications necessary for the management of nephrotic syndrome. Gaps in our current knowledge and opportunities for collaborative research will be discussed throughout.
Volume
32
Issue
suppl_1
First Page
48
Last Page
48
ISSN
1460-2385
Published In/Presented At
Hladunewich, M. A., Bramham, K., Jim, B., & Maynard, S. (2017). Managing glomerular disease in pregnancy. Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 32(suppl_1), i48–i56. https://doi.org/10.1093/ndt/gfw319
Disciplines
Nephrology
PubMedID
28391337
Department(s)
Department of Medicine
Document Type
Article