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chronic renal failure in pregnancy
Complications:
- increased risk of pre-eclampsia/eclampsia
- acute renal failure
- fetal growth restriction
- preterm delivery
- perinatal mortality
Management:
- control hypertension
- do not use ACE inhibitors or ARB
- increase hemodialysis in patients with ESRD
- 20 hours/week (from 12 hour/week)
Related
pregnancy (gestation)
General
renal disease in pregnancy
chronic renal failure (CRF)
References
- Medical Knowledge Self Assessment Program (MKSAP) 16,
American College of Physicians, Philadelphia 2012
- Williams D, Davison J.
Chronic kidney disease in pregnancy
BMJ. 2008 Jan 26;336(7637):211-5
PMID: 18219043
- Vellanki K.
Pregnancy in chronic kidney disease.
Adv Chronic Kidney Dis. 2013 May;20(3):223-8. Review.
PMID: 23928386
- Nadeau-Fredette AC, Hladunewich M, Hui D, Keunen J, Chan CT.
End-stage renal disease and pregnancy.
Adv Chronic Kidney Dis. 2013 May;20(3):246-52. Review.
PMID: 23928389