Pregnancy and Chronic Kidney Disease

Davison, John M.; Lindheimer, Marshall D.

doi:10.1016/j.semnephrol.2010.10.008

Cited by 75 publications

(74 citation statements)

References 69 publications

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“…Oral corticosteroids could be beneficial, decreasing duration and severity of abdominal pain and joint symptoms and hastening resolution of mild HSP nephritis. Steroids do not, however, prevent renal complications, treat purpura, shorten the duration of disease or prevent recurrences [3,9,17,21]. Some authors suggested treating only patients with risk factors for renal involvement at disease onset [18,22].…”

Section: Discussionmentioning

confidence: 99%

Henoch Schönlein Purpura in Pregnancy: a Case with Uncomplicated Maternal and Neonatal Outcome

Tejada¹,

McCarey²,

Boehlen³

et al. 2015

Int. J. Gynecol. Obstet. & Neona. Care

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Abstract:Introduction: Henoch-Schönlein Purpura (HSP) is a systemic IgA-mediated small-vessel vasculitis. It is primarily a childhood disease, rarely described in pregnancy. Pregnant women with HSP are at risk for hypertensive and hemorrhagic complications. Due to the rarity of the condition during pregnancy, there is no consensus about the preferred course of treatment but concerns regarding optimal management are ongoing.Case presentation: We report the case of an 18 year-old primigravida, with a 3-year history of HSP, who had an uneventful pregnancy and term delivery with epidural anesthesia. Conclusion:Due to the systemic nature of HSP, multidisciplinary management of pregnant HSP patients should be warranted to prevent complications.

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Section: Discussionmentioning

confidence: 99%

Henoch Schönlein Purpura in Pregnancy: a Case with Uncomplicated Maternal and Neonatal Outcome

Tejada¹,

McCarey²,

Boehlen³

et al. 2015

Int. J. Gynecol. Obstet. & Neona. Care

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“…CKD is a risk factor for adverse pregnancy outcomes from its early stages (Table I) (6,38,39). The risks increase from CKD stage 1 to CKD stage 5, and may be higher in glomerular nephropathies, autoimmune diseases, and diabetic nephropathy (6,7,(38)(39)(40)(41).…”

Section: Chronic Kidney Diseasementioning

confidence: 99%

“…The risks increase from CKD stage 1 to CKD stage 5, and may be higher in glomerular nephropathies, autoimmune diseases, and diabetic nephropathy (6,7,(38)(39)(40)(41). Results of pregnancy after kidney donation suggest that reduction of kidney parenchyma may be associated with a higher risk of PE and hypertensive disorders of pregnancy (42,43).…”

Section: Chronic Kidney Diseasementioning

confidence: 99%

“…Likewise, the effect of pregnancy on CKD progression is not fully understood because of different study designs, obstetric policies, and duration of follow-up. Overall, short-and long-term decrease in kidney function is unusual in early CKD, but the risk increases as CKD severity increases (6,7,(38)(39)(40)(41)(44)(45)(46)(47)(48).…”

Section: Chronic Kidney Diseasementioning

confidence: 99%

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Untitled

2018

Turk Neph Dial Transpl

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Chronic Kidney Disease affects approximately 10% of the world's adult population: it is within the top 20 causes of death worldwide, and its impact on patients and their families can be devastating. World Kidney Day and International Women's Day in 2018 coincide, thus offering an opportunity to reflect on the importance of women's health and specifically their kidney health, on the community, and the next generations, as well as to strive to be more curious about the unique aspects of kidney disease in women so that we may apply those learnings more broadly.Girls and women, who make up approximately 50% of the world's population, are important contributors to society and their families. Gender differences continue to exist around the world in access to education, medical care, and participation in clinical studies. Pregnancy is a unique state for women, offering an opportunity for diagnosis of kidney disease, but also a state where acute and chronic kidney diseases may manifest, and which may impact future generations with respect to kidney health. There are various autoimmune and other conditions that are more likely to impact women with profound consequences for child bearing, and on the fetus. Women have different complications on dialysis than men, and are more likely to be donors than recipients of kidney transplants.In this editorial, we focus on what we do and do not know about women, kidney health, and kidney disease, and what we might learn in the future to improve outcomes worldwide. KEY WORDS:Women, Access to care, Kidney health, Acute and chronic kidney disease, Inequities ÖZ Kronik Böbrek Hastalığı dünyadaki erişkin popülasyonun yaklaşık %10'unu etkiler: dünya çapında ölümün en sık görülen 20 nedeninden biridir ve hastalar ile aileleri üzerinde çok ciddi etkileri olabilir. Dünya Böbrek Günü ve Uluslararası Kadınlar Günü 2018 yılında aynı güne denk gelmiştir. Böylece kadın sağlığı ve özellikle böbrek sağlığının toplum ve sonraki nesiller üzerindeki önemini düşünmek, öğrendiklerimizi daha geniş bir şekilde uygulayabilmek için böbrek hastalığının benzersiz yönleri konusunda daha meraklı olmaya çalışmak için bir fırsat sunmaktadır.Dünya nüfusunun yaklaşık %50'sini oluşturan kızlar ve kadınlar toplum ve ailelerine önemli katkılar yaparlar. Dünya çapında eğitime erişim, tıbbi bakım ve klinik çalışmalara katılmada cinsiyetle ilgili farklılıklar bulunmaya devam etmektedir. Hamilelik kadınlar için eşsiz bir dönemdir ve böbrek hastalığına tanı konması fırsatı yaratır ama aynı zamanda böbrek sağlığı açısından gelecek nesilleri etkileyebilecek akut ve kronik böbrek hastalıklarının ortaya çıkabileceği bir durumdur. Kadınları etkilemesi daha olası olan ve çocuk sahibi olma ve fetus üzerinde çok önemli sonuçlar doğurabilecek çeşitli otoimmün ve başka hastalıklar bulunmaktadır. Kadınların diyaliz komplikasyonları erkeklerden farklıdır ve böbrek naklinde alıcı olmak yerine verici olma olasılıkları daha yüksektir.Bu editör yazısında kadınlar, böbrek sağlığı ve böbrek hastalığı hakkında bildiklerimiz ve bilmed...

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“…We have invited experts in the field to contribute and also to comment on selected innovative contributions by others and are pleased to inform our readers that the opening paper in the chronic kidney disease stream, on historic moments in the development of obstetric nephrology, will be a contribution by two giants and pioneers in obstetric nephrology, Professors Marshall Lindheimer and John Davison, whose long friendship (over 40 years) also demonstrates the importance of cooperation in new developments in medicine [13][14][15].…”

mentioning

confidence: 99%