Chronic Kidney Disease during Pregnancy

This podcast examines the complex relationship between chronic kidney disease (CKD) and pregnancy, emphasizing that renal dysfunction significantly increases the risk of adverse maternal and neonatal outcomes. This podcast explains how normal anatomic and physiologic adaptations to pregnancy can complicate the diagnosis and management of underlying kidney issues. Key risks identified include higher rates of preeclampsia, preterm delivery, and fetal growth restriction, all of which worsen as the disease progresses. To mitigate these dangers, the text advocates for multidisciplinary care involving both obstetricians and nephrologists to manage hypertension and proteinuria. The source also provides specific guidance for the most vulnerable populations, such as those requiring dialysis or living with a kidney transplant. Finally, it outlines essential safety protocols, including the avoidance of teratogenic medications and the implementation of preventative strategies like low-dose aspirin.