Open AccessPregnancy in Advanced Kidney Disease: Clinical Practice Considerations on a Challenging Combination
Author(s) -
Rozemarijn Snoek,
Rieke van der Graaf,
Jildau R. Meinderts,
Franka van Reekum,
Kitty W. M. Bloemenkamp,
Nine V A M Knoers,
Albertien M. van Eerde,
A. Titia Lely
Publication year - 2020
Publication title -
the nephron journals/nephron journals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.951
H-Index - 72
eISSN - 2235-3186
pISSN - 1660-8151
DOI - 10.1159/000505781
Subject(s) - medicine , pregnancy , genetic counseling , kidney disease , disease , clinical practice , family medicine , intensive care medicine , gynecology , genetics , biology
Thanks to the advances in care, pregnancy is now attainable for the majority of young female CKD patients, although it is still a high-risk endeavor. Clinical decision-making in these cases is impacted by a myriad of factors, making (pre)pregnancy counseling a complex process. The complexities, further impacted by limited data and unknown risks regarding outcome, can cause discussions when deciding on the best care for a specific patient.