Symposium on Renal Function and Disease in Pregnancy Introduction and Overview

Studies on renal function during pregnancy were performed by Jamada (Journ. Of biochem., Vol. 5, No. 2, 1925) on rabbits of the same weight (2.5 kg.) With a uniform diet. Urine was collected 1-3 times a day with a catheter and examined immediately.

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Renal Function in Pregnancy and Toxemia of Pregnancy

Juntendo Medical Journal ◽

10.14789/pjmj.20.267 ◽

1974 ◽

Vol 20 (3) ◽

pp. 267-274

Author(s):

KEIICHIRO KABUKI ◽

HIDEMITU YAMASHITA ◽

HIROMITI YAMAZAKI ◽

JOJI OHNO

Keyword(s):

Renal Function ◽

In Pregnancy

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Advanced renal disease/renal impairment

Practical management of the pregnant patient with rheumatic disease ◽

10.1093/med/9780198845096.003.0005 ◽

2021 ◽

pp. 44-55

Author(s):

Hannah Blakey ◽

Kate Bramham

Keyword(s):

Renal Function ◽

Pregnancy Outcomes ◽

Impaired Renal Function ◽

Low Birth Weight Babies ◽

Term Delivery ◽

Adverse Pregnancy ◽

Urine Testing ◽

First Time ◽

Baseline Renal Function ◽

In Pregnancy

There is an increased incidence of chronic kidney disease (CKD) in patients with underlying rheumatic disease. For a proportion of patients, CKD is diagnosed for the first time in pregnancy through routine antenatal blood and urine testing. Pregnancy places increased physiological demand on the kidneys, and women with CKD have increased risks of adverse pregnancy outcomes, including pre-eclampsia (PET), pre-term delivery, and low birth weight babies. These risks increase incrementally with declining baseline renal function. Thorough pre-conception counselling and regular antenatal review by teams specializing in the care of renal and/or rheumatological conditions is recommended to mitigate these risks and optimize outcome for mother and baby. This chapter describes, through case-based discussion, the investigation and management of abnormal renal function presenting in pregnancy, pre-pregnancy counselling for women with CKD, and the principles of antenatal care for women with impaired renal function.

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Renal angiomyolipoma in pregnancy: surgical management with fetal preservation - Approach in a developing setting

Clinics and Practice ◽

10.4081/cp.2016.893 ◽

2016 ◽

Vol 6 (4) ◽

Cited By ~ 1

Author(s):

Fred O. Ugwumba ◽

Emeka F. Nnakenyi ◽

Okechukwu C. Okafor ◽

Augustine C. Onuh ◽

Paschalina C. Ezechukwu ◽

...

Keyword(s):

Renal Function ◽

Surgical Management ◽

Management Strategy ◽

Fetal Loss ◽

Severe Bleeding ◽

Renal Angiomyolipoma ◽

Retroperitoneal Hemorrhage ◽

Unique Challenge ◽

Renal Tumours ◽

In Pregnancy

Renal angiomyolipomas (RAML) are uncommon benign renal tumours that are associated with a tendency to rupture resulting in sometimes- torrential retroperitoneal hemorrhage as the Wunderlich syndrome or as severe potentially exsanguinating hematuria. When hemorrhage from RAML occurs in pregnancy it presents a unique challenge requiring timely and appropriately adapted intervention with the goal of preventing fatality, preserving renal function as well as preventing fetal loss if possible. We report the management of severe bleeding from RAML in pregnancy and highlight the need to adopt a management strategy that suits the practice environment and offers the patient standard and enduring care.

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