Skip to main content Accessibility help
×
Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-26T23:22:20.117Z Has data issue: false hasContentIssue false

Chapter 19 - Renal Diseases in Pregnancy

Published online by Cambridge University Press:  26 January 2024

David R. Gambling
Affiliation:
University of California, San Diego
M. Joanne Douglas
Affiliation:
University of British Columbia, Vancouver
Grace Lim
Affiliation:
University of Pittsburgh
Get access

Summary

Review of basic anatomic and physiologic changes in renal function during pregnancy and implications of these changes. This chapter highlights the impact of renal disease on pregnancy, fetal outcomes, and anesthetic management. The etiology and severity of chronic renal disease, end stage renal disease, and those who have had a renal allograft all have a crucial impact on pregnancy. These are all critically important to the obstetric anesthesiologist.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2024

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Jeyabalan, A, Lain, KY. Anatomic and functional changes of the upper urinary tract during pregnancy. Urol Clin N Am 2007;34:16.Google Scholar
Cheung, KL, Lafayette, RA. Renal physiology of pregnancy. Adv Chronic Kidney Dis 2013;20:209214.Google Scholar
Beilin, Y, Reid, RW. Renal disease (Chapter 51). In Chestnut, DH, Polley, LS, Tsen, LC, et al. (Eds.), Chestnut’s Obstetric Anesthesia: Principles and Practice (4th ed.). Philadelphia, PA: Mosby Elsevier, 2009.Google Scholar
Odutayo, A, Hladunewich, M. Obstetric nephrology: renal hemodynamic and metabolic physiology in normal pregnancy. Clin J Am Soc Nephrol 2012;7:20732080.Google Scholar
Brown, MA, Magee, LA, Kenny, LC, et al. The hypertensive disorders of pregnancy: ISSHP classification, diagnosis & management recommendations for international practice. Pregnancy Hypertens 2018;13:291310.Google Scholar
Prakash, J, Ganiger, V C. Acute kidney injury in pregnancy-specific disorders. Indian J Nephrol 2017;27:258270.Google Scholar
Resnik, R, Lockwood, CJ, Moore, TR, et al. Maternal and fetal infections. In Lockwood, CJ (Ed.), Creasy and Resnik’s Maternal-fetal Medicine: Principles and Practice (8th ed.). Philadelphia, PA: Elsevier, 2019: 862919.Google Scholar
Landon, MB. Gabbe’s Obstetrics: Normal and Problem Pregnancies. Philadelphia, PA: Elsevier, 2021.Google Scholar
Nicolle, LE, Gupta, K, Bradley, SF, et al. Clinical practice guideline for the management of asymptomatic bacteriuria. 2019. Update by the Infectious Diseases Society of America. Clin Infect Dis 2019;86:83110.Google Scholar
Harris, R, Gilstrap, LC 3rd. Cystitis during pregnancy: a distinct clinical entity. Obstet Gynecol 1981;57:578580.Google Scholar
Hill, JB, Sheffield, JS, McIntire, DD, et al. Acute pyelonephritis in pregnancy. Obstet Gynecol 2005;105:1823.Google Scholar
Mor, Y, Leibovitch, I, Zalts, R, et al. Analysis of the long‐term outcome of surgically corrected vesico‐ureteric reflux. BJU Int 2003;92:97100.Google Scholar
Hollowell, JG. Outcome of pregnancy in women with a history of vesico-ureteric reflux. BJU Int 2008;102:780–714.CrossRefGoogle ScholarPubMed
Roihuvuo-Leskinen, HM, Vainio, MI, Niskanen, KM, et al. Pregnancies in women with childhood vesicoureteral reflux. Acta Obstet Gynecol Scand 2015;94:847851.Google Scholar
Dai, JC, Nicholson, TM, Chang, HC, et al. Nephrolithiasis in pregnancy: treating for two. Urology 2021;151:4453.Google Scholar
Semins, MJ, Matlaga, BR. Kidney stones during pregnancy. Nat Rev Urol 2014;11:163168.Google Scholar
Prakash, J, Ganiger, VC. Acute kidney injury in pregnancy-specific disorders. Indian J Nephrol 2017;27:258270.Google Scholar
Aggarwal, RS, Mishra, VV, Jasani, AF, et al. Acute renal failure in pregnancy: our experience. Saudi J Kidney Dis Transpl 2014;25:450455.Google Scholar
Hnat, M, Sibai, B. Global Library of Women’s Medicine. 2008. https://doi.org/10.3843/GLOWM.10157. Available from: www.glowm.com/section-view/heading/Renal%20Disease%20and%20Pregnancy/item/157%20p:/www.pregnancy.convert.ge/#.Y0tlOXbMLiA [last accessed October 15, 2022].Google Scholar
Jim, B, Garovic, VD. Acute kidney injury in pregnancy. Semin Nephrol 2017;37:378385.Google Scholar
Smyth, A, Radovic, M, Garovic, VD. Women, kidney disease, and pregnancy. Adv Chronic Kidney Dis 2013;20:402410.Google Scholar
Gleeson, S, Lightstone, L. Glomerular disease and pregnancy. Adv Chronic Kidney Dis 2020;27:469476.Google Scholar
Blom, K, Odutayo, A, Bramham, K, et al. Pregnancy and glomerular disease: a systematic review of the literature with management guidelines. Clin J Am Soc Nephrol 2017;12:18621872.Google Scholar
Cabiddu, G, Castellino, S, Gernone, G, et al. A best practice position statement on pregnancy in chronic kidney disease: the Italian study group on kidney and pregnancy. J Nephrol 2016;29:277303.Google Scholar
Gonzalez Suarez, ML, Kattah, A, Grande, JP, et al. Renal disorders in pregnancy: core curriculum. Am J Kidney Dis 2019;73:119130.Google Scholar
Stanhope, TJ, White, WM, Moder, KG, et al. Obstetric nephrology: lupus and lupus nephritis in pregnancy. Clin J Am Soc Nephrol 2012;7:20892099.Google Scholar
Podymow, T, August, P. Management of renal disease in pregnancy. Obstet Gynecol Clin N Am 2010;37:195210.Google Scholar
Chinnappa, V, Ankichetty, S, Angle, P, et al. Chronic kidney disease in pregnancy. Int J Obstet Anesth 2013;22:223230.Google Scholar
Tangren, J, Nadel, M, Hladunewich, MA. Pregnancy and end-stage renal disease. Blood Purif 2018;45:194200.Google Scholar
Hou, S. Pregnancy in chronic renal insufficiency and end-stage renal disease. Am J Kidney Dis 1999;33:235252.Google Scholar
Brunini, F, Zaina, B, Gianfreda, D, et al. Alport syndrome and pregnancy: a case series and literature review. Arch Gynecol Obstet 2018;297:14211431.Google Scholar
Mehta, S, Saifan, C, Abdellah, M, et al. Alport’s syndrome in pregnancy. Case Rep Med 2013;2013:374020.Google Scholar
Pepe, F, De Guardo, F, Zambrotta, E, et al. Renal impairment in Alport syndrome pregnant woman: case report and review of the literature. Clin Case Rep 2020;8:30023006. https://doi.org/10/1002/ccr3.3328Google Scholar
Matsuo, K, Tudor, EI, Baschat, AA. Alport syndrome and pregnancy. Obstet Gynecol 2007;109:531–532.Google Scholar
Wu, M, Wang, D, Zand, L, et al. Pregnancy outcomes in autosomal dominant polycystic kidney disease: a case-control study. J Matern Fetal Neonatal Med 2016;29:807812.Google Scholar
Harris, PC, Torres, VE. Polycystic kidney disease, autosomal dominant. In Adam, MP, Ardinger, HH, Pagone, RA, et al. (Eds.), GeneReview [Internet]. Seattle, WA: University of Washington, 1993–2021.Google Scholar
McBride, L, Wilkinson, C, Jesudason, S. Management of autosomal dominant polycystic kidney disease during pregnancy: risks and challenges. Int J Womens Health 2020;1 :409422.CrossRefGoogle Scholar
Petrikovsky, BM, Vintzileos, AM, Cassidy, SB, et al. Tuberous sclerosis in pregnancy. Am J Perinatol 1990;7:133–135.Google Scholar
Randle, SC. Tuberous sclerosis complex: a review. Pediatr Ann 2017;46:166–171.Google Scholar
Islam, MP, Roach, ES. Tuberous sclerosis complex. Handb Clin Neurol 2015;132:97109.Google Scholar
Mitchell, AL, Parisi, MA, Sybert, VP. Effects of pregnancy on the renal and pulmonary manifestations in women with tuberous sclerosis complex. Genetics in Medicine 2003;5:154-160.Google Scholar
Sharma, N, Sharma, S, Thiek, JL. Maternal and fetal tuberous sclerosis: do we know enough as an obstetrician. J Reprod Infertil 2017;18:257–260.Google Scholar
Gounden, YP. Tuberous sclerosis in pregnancy: a case report and review of the literature. Aust N Z J Obstet Gynaecol 2002;42:551552.Google Scholar
Cunha, T, Heilberg, IP. Bartter syndrome: causes, diagnosis, and treatment. Int J Nephrol Renovasc Dis 2018;11:291301.Google Scholar
O’Sullivan, E, Monga, M, Graves, W. Bartter’s syndrome in pregnancy: a case report and review. Am J Perinatol 1997;14:55–57.Google Scholar
Deruelle, P, Dufour, P, Magnenant, E, et al. Maternal Bartter’s syndrome in pregnancy treated by amiloride. Eur J Obstet Gynecol Reprod Biol 2004;115:106–107.Google Scholar
Frassetto, LA, Lo, LJ. Bartter syndrome treatment and management. Available from: https://emedicine.medscape.com/article/238670-treatment [last accessed October 26, 2022].Google Scholar
Gjata, M, Tase, M, Gjata, A, et al. Gitelman’s syndrome (familial hypokalemia-hypomagnesemia). Hippokratia 2007;11:150153.Google Scholar
Lee, M, Kim, DI, Lee, KH, et al. HELLP syndrome in a pregnant patient with Gitelman syndrome. Kidney Res Clin Pract 2017;36: 9599.Google Scholar
Micha, G, Kalopita, K, Theodorou, S, et al. Peripartum management of Gitelman syndrome for vaginal delivery: a case report and review of literature. Anesth Essays Res 2021;15:146148.Google Scholar
Shanbhag, S, Neil, J, Howell, C. Anaesthesia for caesarean section in a patient with Gitelman’s syndrome. Int J Obstet Anesth 2010;19:451453.Google Scholar
Hladunewich, MA, Hou, S, Odutayo, A, et al. Intensive hemodialysis associates with improved pregnancy outcomes: a Canadian and United States cohort comparison. J Am Soc Nephrol 2014;25:11031109.Google Scholar
Luders, C, Castro, MC, Titan, SM, et al. Obstetric outcome in pregnant women on long-term dialysis: a case series. Am J Kidney Dis 2010;56:7785.Google Scholar
Kanda, H, Hirasaki, Y, Iida, T, et al. Perioperative management of patients with end-stage renal disease. J Cardiothorac Vasc Anesth 2017;31:22512267.CrossRefGoogle ScholarPubMed
Deshpande, NA, Coscia, LA, Gomez-Lobo, V, et al. Pregnancy after solid organ transplantation: a guide for obstetric management. Rev Obstet Gynecol 2013;6:116125.Google Scholar
McKay, DB, Josephson, MA. Pregnancy in recipients of solid organs: effects on mother and child. N Engl J Med 2006;354:12811293.Google Scholar
Wiles, K, Chappell, L, Clark, K, et al. Clinical practice guideline on pregnancy and renal disease. BMC Nephrol 2019;20:401. https://doi.org/10.1186/s12882-019-1560-2Google Scholar
McKay, DB, Josephson, MA. Pregnancy after kidney transplantation. Clin J Am Soc Nephrol 2008;3(Suppl. 2):S117S125.Google Scholar
Shah, S, Venkatesan, RL, Gupta, A, et al. Pregnancy outcomes in women with kidney transplant: meta-analysis and systematic review. BMC Nephrol 2019;20:24. https://doi.org/10.1186/s12882-019-1213-5Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×