Can patients with chronic kidney disease be pregnant and have children?What are the problems of pregnancy?

Studies have shown that the blood pressure and renal function level of patients with chronic kidney disease before pregnancy are the main factor that determines whether the patient can go through the pregnancy.To strengthen the monitoring during pregnancy, the blood pressure should be checked every 2 weeks in the early pregnancy, the quantification of urine protein, renal function, and fetal development in the 24 -hour urine protein should be checked once a week.Once the renal function decreases sharply, the blood pressure that is difficult to control is increased. When the condition cannot be controlled, we must weigh the advantages and disadvantages and terminate pregnancy in a timely manner.

1. Patients with chronic kidney disease in patients with stable condition, good nutritional state, good blood pressure and protein urine control, normal renal function or serum creatinine <133umol/L are mostly good to be good, the adult perfection power can reach 95%, the fetus can also beBasically, normal development and normal delivery. Most of the renal function of pregnant women can return to the level before pregnancy.

2. Patients with serum creatinine exceeding 133umol/L. Although the fetal survival rate can reach 90縛 strict monitoring, the fetal development is slow, and the premature birth rate exceeds 50%.Hypertension, the higher the level of blood creatinine, the greater the risk, so most of these patients are not recommended for pregnancy.

3. Patients with end -stage renal diseases have a low conception rate. The fetus is more delayed, dead or premature birth, and pregnant women will also be dialysis in advance. At present, it is not recommended.

4. Whether the quantity of proteinuria can become an independent risk factor has always been controversial, but most researchers believe that the amount of protein urine during pregnancy is directly related to the development of the fetus.Renal function decreases.

5. In various types of pathological types of primary glomerular diseases, the pathological types of pathological changes are generally believed that the pathological types that have higher treatment reactions are good in pregnancy and after pregnancy.Membrane hyperplasia glomerular nephritis, membrane nephropathy, etc.; Vice versa, such as the stove -stricken glomerular sclerosis, membrane hyperplasia glomerular nephritis, etc.

6. IGA nephropathy is the most common glomerular disease in my country. Clinical and pathological expression are diversified. It should be judged by the pathological impact on pregnancy. In the last two months, when a sudden renal function decreased or unknown renal syndrome, nephrometer was recommended. If the renal function is normal, you don’t have to rush to perform renal activation, you can wait until the birth.

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