Vesebetegség talaján kialakult, magas vérnyomá ssal szövódött terhesség

Translated title of the contribution: Pregnancy complicated with hypertension developing on the basis of an underlying-renal disease

Research output: Contribution to journalReview article

Abstract

The pregnancy of women suffering from a chronic renal disease presents a special challenge both to the obstetrician- gynaecologist and the nephrologist. Pregnancy may lead to the progression of the kidney disease, and this progression can occasionally be marked. The most important predictors of an impairment in the renal function are the severity of the renal failure, hypertension during pregnancy and the degree of proteinuria. Pregnancy of patients with kidney disease may be associated with a number of maternal and foetal obstetrical complications the most common of which are preeclampsia, intrauterine growth retardation and premature delivery. The risk of obstetrical complications is directly proportional to the severity of the renal failure and the degree of hypertension. In systemic lupus erythematosus, pregnancy-associated immunological changes and the presence of certain autoantibodies must be considered as further risk factors. In diabetic nephropathy, the metabolic control has a specific and significant impact on pregnancy outcome, in addition to the renal failure itself. The author presents the major points to be considered during the management of the pregnancy of patients with renal disease, and the current guidelines to the administration of antihypertensive drugs during pregnancy.

Original languageHungarian
Pages (from-to)11-18
Number of pages8
JournalMagyar Noorvosok Lapja
Volume72
Issue number1
Publication statusPublished - 2009

Fingerprint

Hypertension
Kidney
Pregnancy
Renal Insufficiency
Kidney Diseases
Renal Hypertension
Fetal Growth Retardation
Diabetic Nephropathies
Pregnancy Outcome
Pre-Eclampsia
Chronic Renal Insufficiency
Proteinuria
Systemic Lupus Erythematosus
Autoantibodies
Antihypertensive Agents
Disease Progression
Mothers
Guidelines

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

Cite this

Vesebetegség talaján kialakult, magas vérnyomá ssal szövódött terhesség. / Kovács, G.

In: Magyar Noorvosok Lapja, Vol. 72, No. 1, 2009, p. 11-18.

Research output: Contribution to journalReview article

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