Author: Leo
Keywords: CKD | chronic kidney disease | NICU | Outcomes | pregnancy
outcome
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According to a study published in the Journal of the American Journal of Nephrology (JASN), mild kidney disease during pregnancy may increase the risk to mothers and infants. This finding will help guide pregnant women to prenatal counseling and care.
According to a study published in the Journal of the American Journal of Nephrology (JASN), mild kidney disease during pregnancy may increase the risk to mothers and infants. This finding will help guide pregnant women to prenatal counseling and care.
Chronic kidney disease (CKD) is on the rise, studies have shown that the early stages of the disease will affect pregnancy outcomes. Italian doctor Dr. Giorgina Barbara Piccoli and his colleagues led a research team recently conducted a study called TOCOS (Turin-Cagliari observational study), bringing 504 pregnant women with chronic kidney disease with 836 Pregnancy outcomes of pregnant women without chronic kidney disease were compared.
Researchers have found that the risk of adverse pregnancy outcomes, such as preterm birth, neonatal intensive care, or the development of mothers with hypertension, these risks are increasing in the stage of chronic kidney disease. However, the risk is not only related to decreased renal function, although the renal function in the first stage of chronic kidney disease in the normal range, asymptomatic, but chronic kidney disease compared with the healthy control group was significantly different. The team also found no difference in the risk of intrauterine death or malformations between the patient and the healthy control group.
"This finding suggests that any kidney disease, or even the lightest nephropathy, causes kidney scarring due to early renal infections, but normal renal function, which must be taken into account in the risk of pregnancy, and all that The patient should need to follow the observation to ensure safety, "Dr. Piccoli said. "On the contrary, we also found that patients with advanced chronic kidney disease may also have good pregnancy results, they usually do not have any hope for pregnancy." She added.
Researchers hope that the new discovery will help establish a special project for early diagnosis and real-time observation of chronic kidney disease pregnant women. "We are currently in the" rating "risk model, when the patient chooses to be pregnant, the doctor can provide information accordingly." Dr. Piccoli said.
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