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Renal Problems In Pregnancy

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Appointment

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pound iconPrice: From £175

Turnaround: Varies

Appointment: 60 minutes

Renal Health During Pregnancy

Pregnancy causes physiological changes that affect kidney function. For women with existing renal diseases or conditions, it is important to receive support and advice from an obstetrician or specialist throughout the stages of preconception, pregnancy, and postnatal care to ensure they can guide you through a healthy pregnancy.

Pregnancy & Kidney Disease

In milder cases of kidney disease, with normal blood pressure levels and only low levels of proteinuria, the risk of complications is lower than in women with moderate or severe kidney disease. It is important to consult a doctor before planning pregnancy in all cases of renal disease or complications, to undergo a thorough evaluation of risks and possibilities.

For women on dialysis, treatment effects may disrupt hormone levels and cause anaemia (a low red blood cell count), potentially making conception difficult or impossible. Women with kidney failure are generally advised against pregnancy due to the high likelihood of serious complications for both mother and baby.

Close medical supervision is crucial in these pregnancies, often requiring medication adjustments and increased dialysis.

Kidney Transplant & Pregnancy

A woman who has had a kidney transplant will often have regular menstrual periods and can therefore conceive.

However, conception is generally not recommended within the first year after the transplant to allow the kidneys to stabilise, and because medications taken post-transplant can adversely affect a foetus. Your doctor may advise against pregnancy if there is a risk of transplant failure.

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Serious doctor with arms crossed

Common Renal Problems During Pregnancy

  • Pre-Existing Renal Conditions: Women with pre-existing kidney conditions such as chronic kidney disease (CKD) or kidney stones may require specialised care to manage their condition during pregnancy.
  • Gestational Hypertension And Preeclampsia: These conditions can affect kidney function and are characterised by high blood pressure and proteinuria (excess protein in urine). Early detection and management are crucial to prevent complications.
  • Urinary Tract Infections (UTIs): Pregnant women are more susceptible to UTIs due to hormonal changes and increased urinary stasis. Prompt treatment is essential to prevent kidney infections.

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When To Seek Help

If you experience the following symptom, it is essential to seek medical attention promptly:

  • Severe Headaches: If you experience intense or persistent headaches that are not relieved by usual remedies such as rest or over-the-counter pain relievers, it is crucial to seek medical attention promptly. Severe headaches can sometimes be a sign of conditions like preeclampsia, which require monitoring and management by healthcare professionals.
  • Vision Changes: Any sudden or significant changes in vision, such as blurriness, seeing spots or flashes of light, or difficulty focusing, should be evaluated by a doctor. These changes could indicate issues related to blood pressure or other underlying health concerns that need timely assessment.
  • Swelling (Hands And Face): Noticeable swelling in the hands, face, or other parts of the body can be a symptom of fluid retention, which may be related to conditions like preeclampsia. Swelling that does not improve with rest or elevation warrants medical evaluation to ensure it is not indicative of a more serious issue.
  • Changes In Urine Output (Increased Or Decreased): Any significant changes in how much urine you are producing should be reported to your healthcare provider. This could include suddenly needing to urinate more frequently, producing noticeably less urine, or experiencing pain or discomfort while urinating. Changes in urine output can be a sign of kidney dysfunction or other conditions that require medical attention to prevent complications for both you and your baby.

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The Procedure

preparing for appointment

Pre-Appointment

To prepare for your appointment, gather your medical history, including any kidney issues, urinary tract infections, hypertension, diabetes, or other conditions. List all medications, supplements, and herbal products you take. Drink plenty of water unless otherwise instructed, and follow any fasting requirements. Write down any questions or concerns about your kidney health, pregnancy, and the tests. Bring any relevant medical records or test results.

during the appointment

Appointment

Expect a physical exam, including blood pressure measurement and checking for swelling. You may need to provide a urine sample using the clean-catch method if instructed. Additionally, blood may be drawn. Inform your provider if you did not follow fasting instructions. You might also undergo a renal ultrasound or other imaging studies, which are usually non-invasive and painless.

post appointment

Post-Appointment

If blood was drawn, ensure you stay hydrated and rest if you feel lightheaded. As soon as we receive your results, we will get in touch to discuss them and make sure you understand what they mean.

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Is it safe to become pregnant if I have a kidney condition?
If you have an existing condition, it is important that you find an experienced obstetrician who can support you throughout the pregnancy and ensure you are as healthy as possible. With support from a doctor who understands your condition, you will be able to have the healthiest possible pregnancy.
Is it possible to become pregnant whilst on dialysis?
The effects of dialysis treatment can make conception very difficult, for example if hormone and red blood cell levels are affected. Your doctor will be able to discuss your options with you and check your levels if you are trying to get pregnant.
Can I have a baby after having a kidney transplant?
In many cases, once normal periods have returned, a woman who has had a kidney transplant will be able to conceive. It usually takes a year after the transplant for the kidneys to stabilise, and conception is not advised during this time. A doctor can evaluate your condition and help you figure out the safest course of action.

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