A successful pregnancy outcome in a known case of chronic kidney disease: a case report

Rituparna Ray; Vedavathy Nayak; Sreelatha S.; Hajira Sultana N.

doi:10.18203/2320-1770.ijrcog20251994

Authors

Rituparna Ray Department of Obstetrics and Gynecology, ESI-PGIMSR and ESIC Medical College, Joka, Kolkata, West Bengal, India
Vedavathy Nayak Department of Obstetrics and Gynecology ESI-PGIMSR and ESIC Medical College, Rajajinagar, Bangalore, Karnataka, India
Sreelatha S. Department of Obstetrics and Gynecology, ESI-PGIMSR and ESIC Medical College, Joka, Kolkata, West Bengal, India
Hajira Sultana N. Department of Obstetrics and Gynecology, ESI-PGIMSR and ESIC Medical College, Joka, Kolkata, West Bengal, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20251994

Keywords:

Chronic kidney disease, Gestational hypertension, Pre-eclampsia

Abstract

Chronic kidney disease (CKD) is defined as altered renal structure, function and morphology or glomerular filtration rate<60 ml/min for a minimum of 3 months. CKD affects approximately 6% women in reproductive age group in developed countries. The incidence is 0.03%-0.2% in pregnancy and if not diagnosed and treated on time, it may lead to poor prognosis. We are reporting a case of G2P1L1 at 24 weeks period of gestation with gestational hypertension, she was also a known case of CKD for 9 years not on treatment. She was followed up regularly with a multidisciplinary approach and successfully managed.

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References

Singh R, Prasad N, Banka A, Gupta A, Bhadauria D, Sharma RK, et al. Pregnancy in patients with chronic kidney disease: Maternal and fetal outcomes. Indian J Nephrol. 2015;25(4):194-9. DOI: https://doi.org/10.4103/0971-4065.145127

Sejpal KN, Priyamvada PS. Ch. 1 Renal physiological adaptation in pregnancy in Meena P, Chaudhury AR, Sahay M, Copalakrishan edi, in Pregnancy and Kidney Disease. Jaypee Publication. 2024;7-8.

Al Khalaf S, Bodunde E, Maher GM, O'Reilly ÉJ, McCarthy FP, O'Shaughnessy MM, et al. chronic kidney disease and adverse pregnancy outcomes: a systematic review and meta-analysis. Am J Obstet Gynecol. 2022;226(5):656-70.e32. DOI: https://doi.org/10.1016/j.ajog.2021.10.037

Piccoli GB, Cabiddu G, Attini R, Parisi S, Fassio F, Alrukhaimi M, et al. Risk of adverse pregnancy outcomes in women with CKD. J Am Soc Nephrol. 2015;26(8):2011-22. DOI: https://doi.org/10.1681/ASN.2014050459

Kendrick J, Sharma S, Holmen J, Palacios S, Nuccio E, Chonchol M. Kidney disease and maternal and fetal outcomes in pregnancy. Am J Kidney Dis. 2015;66(1):55-9. DOI: https://doi.org/10.1053/j.ajkd.2014.11.019

Piccoli GB, Cabiddu G, Daidone G, Guzzo G, Maxia S, Ciniglio I, et al. A systematic review on materno-fetal outcomes in pregnant women with chronic kidney disease. Clin J Am Soc Nephrol. 2010;5(5):875-85.

Zhang JJ, Ma XX, Hao L, Liu LJ, Lv JC, Zhang H. A systematic review and meta-analysis of outcomes of pregnancy in chronic kidney disease. Kidney Int. 2015;86(3):449-56.