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A Review of the Implications of Chro...

Belding, Emily.

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A Review of the Implications of Chronic Kidney Disease in Pregnancy on Maternal and Fetal Outcomes.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	A Review of the Implications of Chronic Kidney Disease in Pregnancy on Maternal and Fetal Outcomes./
作者:	Belding, Emily.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
面頁冊數:	64 p.
附註:	Source: Masters Abstracts International, Volume: 82-01.
Contained By:	Masters Abstracts International82-01.
標題:	Physiology. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27829945
ISBN:	9798641084503

A Review of the Implications of Chronic Kidney Disease in Pregnancy on Maternal and Fetal Outcomes.
Belding, Emily.

A Review of the Implications of Chronic Kidney Disease in Pregnancy on Maternal and Fetal Outcomes. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 64 p.

Source: Masters Abstracts International, Volume: 82-01.

Thesis (M.S.)--Boston University, 2020.

This item must not be sold to any third party vendors.

The prevalence of pregnancies complicated by chronic kidney disease (CKD) is increasing. Yet, CKD in pregnancy tends to be under-diagnosed, as women of childbearing age are not regularly screened for renal dysfunction, nor is screening incorporated into routine pregnancy follow up. Further, renal dysfunction has significant implications for maternal and fetal outcomes, with degree of renal dysfunction at conception being the most important prognostic factor. It is established that the risk for poorer renal, maternal and fetal outcomes, increases incrementally with severity of CKD, with intrauterine death and progression to end-stage renal disease (ESDR) associated with severe CKD. However, it is difficult to predict which CKD pregnancies will lead to poor outcomes as the definition of CKD in pregnancy is not uniform between studies, nor are measurement parameters. This paucity of data prevents the establishment of a standard of care protocol and leaves clinicians ill-equipped to care for and manage this complex patient cohort. This review discusses renal, maternal and fetal outcomes in CKD pregnancies as presented by the literature, in order to demonstrate the contradictions in data and gaps in knowledge surrounding this topic, as well as the need for a general management algorithm.

ISBN: 9798641084503Subjects--Topical Terms:

518431
Physiology.
Subjects--Index Terms:

Chronic Kidney Diease

A Review of the Implications of Chronic Kidney Disease in Pregnancy on Maternal and Fetal Outcomes.
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500 $a Advisor: Garcia-Diaz, J. Fernando;Moussavi, Mina.
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520 $a The prevalence of pregnancies complicated by chronic kidney disease (CKD) is increasing. Yet, CKD in pregnancy tends to be under-diagnosed, as women of childbearing age are not regularly screened for renal dysfunction, nor is screening incorporated into routine pregnancy follow up. Further, renal dysfunction has significant implications for maternal and fetal outcomes, with degree of renal dysfunction at conception being the most important prognostic factor. It is established that the risk for poorer renal, maternal and fetal outcomes, increases incrementally with severity of CKD, with intrauterine death and progression to end-stage renal disease (ESDR) associated with severe CKD. However, it is difficult to predict which CKD pregnancies will lead to poor outcomes as the definition of CKD in pregnancy is not uniform between studies, nor are measurement parameters. This paucity of data prevents the establishment of a standard of care protocol and leaves clinicians ill-equipped to care for and manage this complex patient cohort. This review discusses renal, maternal and fetal outcomes in CKD pregnancies as presented by the literature, in order to demonstrate the contradictions in data and gaps in knowledge surrounding this topic, as well as the need for a general management algorithm.
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653 $a CKD in Pregnancy
653 $a CKD management
653 $a Maternal Outcomes
653 $a Pregnancy complications
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