Often,
pregnancy does not cause a kidney disorder to worsen. Usually, kidney disorders worsen only in
pregnant women who have high blood pressure that is not
well-controlled. If pregnant women have a kidney disorder, they are more likely
to develop high blood pressure, including preeclampsia (a type of high
blood pressure that develops during pregnancy)
Having
a before becoming pregnant increases the risk that the fetus will not grow as
much as chronic
kidney disorder expected or be stillborn.
Having a severe kidney disorder usually prevents women from carrying a baby to
term.
In
pregnant women who have a kidney disorder, kidney function and blood pressure
are monitored closely, as is growth of the fetus. If the kidney disorder is
severe, women may need to be hospitalized after 28 weeks of pregnancy so that
bed rest is guaranteed, blood pressure can be controlled well, and the fetus
can be monitored closely.
Women
who have had a kidney transplant are usually able to safely give
birth to healthy babies if they have all of the following:
·
A
transplant that has been in place for 2 or more years
·
Normal
kidney function
·
No
episodes of rejection
·
Normal
blood pressure
Women
who have a kidney disorder that regularly requires hemodialysis are
often at high risk of pregnancy complications,
including miscarriage, stillbirth, preterm birt, and
preeclampsia. But because of advances in dialysis treatment, up to 90% of
babies born to these women survive.
Usually,
delivery is required before the due date because the woman develops
preeclampsia or the fetus is not growing as much as expected. Doctors may
remove and analyze a sample of the fluid that surrounds the fetus (amniotic
fluid). This procedure, called amniocentesis, helps doctors determine
whether the fetus’s lungs are mature enough to breathe air and thus when the
baby can be delivered safely.
Cesarean
delivery is often done, but sometimes vaginal delivery is possible.
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