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Kidney Disorders During Pregnancy

By

Lara A. Friel

, MD, PhD, University of Texas Health Medical School at Houston, McGovern Medical School

Last full review/revision Oct 2021
CLICK HERE FOR THE PROFESSONAL VERSION

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.

  • A transplant that has been in place for 2 or more years

  • Normal kidney function

  • No episodes of rejection

  • Normal blood pressure

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 Amniocentesis Prenatal diagnostic testing involves testing the fetus before birth (prenatally) to determine whether the fetus has certain abnormalities, including certain hereditary or spontaneous genetic... read more , helps doctors determine whether the fetus’s lungs are mature enough to breathe air and thus when the baby can be delivered safely.

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