Pregnancy in Women with Chronic Renal Disease

Abstract

PREGNANCY in women with chronic renal disease is accompanied by an increase in such complications as hypertension and proteinuria and by increases in prematurity and fetal loss. Although fertility is decreased in women with advanced renal insufficiency, pregnancy sometimes occurs. Moreover, transplantation restores fertility to many women with end-stage renal disease. This article attempts to define some of the risks associated with pregnancy in women with renal disease and to offer guidelines for their care.HypertensionThe problem that poses the greatest danger to the mother's life is severe hypertension, with its risk of central nervous system bleeding. Hypertension is . . .