Pre-pregnancy counseling for women with chronic kidney disease
Pre-pregnancy counseling for women with chronic kidney disease
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DOI：
10.5301/jn.5000130
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发表时间：
2012-07-01
影响因子：
3.4
通讯作者：
Lightstone, Liz
中科院分区：
文献类型：
--
作者：
Bramham, Kate;Lightstone, Liz
所有患有慢性肾脏病（CKD）的女性都应获得孕前咨询，以便在疾病过程中的正确时间以及正确的药物治疗时受孕，目的是最大限度地减少母亲和胎儿的风险。需要考虑的关键领域是与预后不良相关的因素以及潜在肾脏疾病及其治疗的影响，特别是狼疮性肾炎，晚期肾损害和移植。这项基于经验的综述为临床医生在怀孕前和怀孕期间管理患有慢性肾病的女性提供了指南。
Pre-pregnancy counseling should be available for all women with chronic kidney disease (CKD) so that conception occurs at the right time in the course of their disease and while they are on the right medications, with the aims of minimizing risks for both mother and fetus. Key areas to consider are the factors which are associated with worse prognosis and the influence of underlying kidney conditions and their treatment, in particular lupus nephritis, advanced renal impairment and transplantation. This experience-based review provides a guide to clinicians managing women with CKD, before and during their pregnancy.