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Pregnancy Outcome in Women with Reflux Nephropathy — A Review of Experience at the Royal Women's Hospital Brisbane, 1977–1986
Author(s) -
Weaver Edward,
Craswell Peter
Publication year - 1987
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1987.tb00955.x
Subject(s) - medicine , reflux nephropathy , pregnancy , reflux , urinary system , renal function , incidence (geometry) , obstetrics , creatinine , nephropathy , preeclampsia , offspring , urology , disease , vesicoureteral reflux , endocrinology , diabetes mellitus , physics , biology , optics , genetics
Summary: The outcome of pregnancy was examined, retrospectively, in women with a diagnosis of reflux nephropathy attending The Royal Women's Hospital from January, 1977 to August, 1986. Of 15 women, 10 were known to have had the disease antepartum and 5 were diagnosed postpartum. On the basis of plasma creatinine concentration prior to pregnancy, 10 patients had 22 pregnancies with normal renal function and 5 patients had 7 pregnancies with plasma creatinine concentrations ranging from 0.12 to 0.17 mmol/1. The pregnancies of the women with normal renal function were complicated by urinary tract infections, while those with impaired renal function were associated with preeclampsia. The perinatal mortality for both groups were zero. A relatively low incidence of vesicoureteric reflux was found in 12 of the offspring who were subjected to micturating cystourethrography (mild reflux in 1 of 24 ureters).