• Med. Clin. North Am. · Jul 2023

    Review

    Pregnancy in Chronic Kidney Disease: Acute Kidney Injury in Pregnant Women and Management of Chronic Kidney Disease in the Pregnant Patient.

    • Arundati Rao and Ursula C Brewster.
    • Yale University School of Medicine, 330 Cedar Street, BB114, New Haven, CT 06510, USA.
    • Med. Clin. North Am. 2023 Jul 1; 107 (4): 717726717-726.

    AbstractWomen pursue pregnancy with comorbidities such as hypertension and kidney disease, necessitating primary care physicians to remain up to date with current clinical practice. Hypertensive disorders of pregnancy pose risks to the pregnancy and to the woman in the short and long term. These risks and their management are detailed in this review. Normally, pregnancy is associated with hemodynamic and kidney-specific changes. Here the authors discuss these changes and review the impact and management of pregnancy-related acute kidney injury, chronic kidney disease, and dialysis in pregnant patients. Kidney transplant recipients may experience return of fertility and require counseling to improve outcomes.Copyright © 2023 Elsevier Inc. All rights reserved.

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