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Gynaecology > Renal Problems In Pregnancy
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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.
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.
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.
If you experience the following symptom, it is essential to seek medical attention promptly:
Use our online booking engine or book your test by giving us a call.
On the online booking engine select the “appointment type” you need.
You will be seen by one of our friendly doctors or trained clinicians.
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.
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.
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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