Managing pregnancy in chronic kidney disease: improving outcomes for mother and baby.
Managing pregnancy in chronic kidney disease: improving outcomes for mother and baby.
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DOI：
10.2147/ijwh.s76819
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Jesudason S
中科院分区：
文献类型：
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作者：
Fitzpatrick A;Mohammadi F;Jesudason S
为人父母是慢性肾病女性的核心关注点，但也引发了对自身和婴儿健康风险的重大担忧和不确定性。患有背景肾病的女性、接受透析的女性或接受功能性肾移植的女性的妊娠构成了具有挑战性的临床情况，与高母胎发病率和对母体肾脏健康的潜在影响相关。近几十年来，护理的改善导致了一种范式的转变，人们对慢性肾脏病女性的妊娠持谨慎乐观态度，并越来越感兴趣。在这篇综述中，我们讨论了产科和肾脏的结果，并在这个复杂的队列管理怀孕的实际方面。
Parenthood is a central focus for women with chronic kidney disease, but raises important fears and uncertainties about risks to their own and their baby’s health. Pregnancy in women with background kidney disease, women receiving dialysis, or those with a functioning kidney transplant poses a challenging clinical scenario, associated with high maternal–fetal morbidity and potential impact on maternal renal health. Improvements in care over recent decades have led to a paradigm shift with cautious optimism and growing interest regarding pregnancies in women with chronic kidney disease. In this review, we discuss obstetric and renal outcomes, and practical aspects of management of pregnancy in this complex cohort.