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Chronic Kidney Disease Risk during Pregnancy: Nephrology

Even mild kidney disease during pregnancy may increase certain risks in the mother and baby, according to recent studies These findings may be accessible for compelling prenatal counseling and for monitoring women during pregnancy. Chronic kidney disease (CKD) is on the ascent, and studies exhort that even initial stages of the disease can affect pregnancy result. The researchers found that the risk for adverse pregnancy outcomes such as preterm delivery, the need for neonatal intensive care, or the development of hypertension in the mother increased across Chronic Kidney Disease stages. However, the risk was hardly linked to reduced kidney function because stage 1 CKD patients and healthy controls differed incomparably, even though the fact those patients with stage 1 CKD are asymptomatic and have kidney function within the normal range. The researchers also found that the liability of intrauterine death or fetal malformations did not conflict between patients and healthy controls. The decree indicate that any kidney disease even the least rigid, such as a kidney scar form a previous episode of kidney infection, with normal kidney function has to be noted as admissible in pregnancy, and all patients should undergo a particularly careful follow-up. At variance, researchers also found that a good outcome was in patients with advanced CKD, who are often discouraged to pursue pregnancy. The investigators hope that the new findings may benefit to establish dedicated programs for the early diagnosis and follow up of pregnancy in chronic kidney disease.

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