Pregnancy in patients with chronic nephritis, kidney disease specialist talks after renal check carefully checked, and then determine whether the pregnancy.
Renal blood flow during pregnancy than usual significantly increased in the glomerular hyperperfusion, hyperfiltration state, pregnancy vivo coagulation factors and the fiber factor changes so that the body in a hypercoagulable state, these changes for normal kidney no significant effect, but for patients with chronic nephritis, can kidney burden, leading to the original kidney disease aggravated, so that deterioration of renal function. When chronic nephritis women pregnancy, compared with normal women prone to pre-eclampsia and other serious complications of pregnancy, a great danger to the survival of the fetus and pregnant women, patients with chronic nephritis care must be taken during pregnancy.
Before pregnancy in the hospital for a series of checks, especially renal check, the nephritis stable condition, with normal renal function, blood pressure is not high, not much urine protein and kidney pathological examination of small lesions can be considered. Membranous nephropathy women, even pathological changes the lighter nor should pregnancy, clinical data have revealed that part of the pregnancy were at an early stage no obvious abnormalities, but to the middle and late renal function occurred deteriorated sharply, even life-threatening.
Patients with lupus nephritis satisfactory control, under the circumstances, considering pregnancy. Occult nephritis in general pregnancy, the whole process of pregnancy must be placed under the close monitoring of renal medicine, obstetrics and gynecology practitioner, and stopped in the middle and late pregnancy to go to work, pay attention to rest. Majority of patients with latent nephritis safe pregnancy and childbirth, but a small number of pregnant women during pregnancy increased nephritis, these women need to terminate the pregnancy, the decision shall be made by the physician.
However, it should be noted that even if the kidney function in patients with chronic nephritis relatively stable, preferably ships, pregnancy is still possible to make nephritis exacerbations. Therefore, pregnancy must be closely observed, attention to edema and changes in blood pressure, urine and kidney function tests.
In early pregnancy, medium-term need to hospital for examination once every 2 weeks to 32 weeks after the week check order to identify problems and timely treatment. During pregnancy, such as urine protein and (or) high blood pressure, you should stay in bed, and treatment under the guidance of a doctor. If the decline in renal function, we must first analyze the reasons, to see whether the complicated pyelonephritis, for excessive diuretic-induced dehydration and the presence of high blood pressure. If these reasons need for timely treatment; corrective above reasons renal function continued to decline, or can not find other incentives lead to renal dysfunction, should be timely termination of pregnancy, to ensure the safety of pregnant women.
For the safe delivery of nephritis maternal postpartum need to seriously rest, not tired, maternal and child care and care should, on a regular basis to the Department of Nephrology, check blood pressure, routine urine tests, renal function, in order to prevent some patients in the postpartum busy parenting ignore self-protection leaving nephritis deterioration.
