Pregnancy and The Kidneys: A Brief Systematic Review

Pregnancy and Kidneys


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Authors

DOI:

https://doi.org/10.5281/zenodo.7562220

Keywords:

Pregnancy, hypertension, urinary tract infection, acute kidney injury, chronic kidney injury

Abstract

Significant anatomical and physiological changes occur in kidneys during pregnancy. These need to be well defined to discriminate real nephrological disorders. Pregnancy may cause predisposition to some kidney diseases, and it is not surprising that women with already known kidney disorders may face challenges in this period. Management is more complicated than in general population as both maternal and fetal health should be considered. In this report, besides anatomical and physiological changes that occur in pregnancy, common nephrological disorders like hypertension, urinary tract infections, acute and chronic kidney injury are reviewed.

References

Tan EK, Tan EL. Alterations in physiology and anatomy during pregnancy. Best Pract Res Clin Obstet Gynaecol. 2013;27(6):791-802. doi:10.1016/j.bpobgyn.2013.08.001

Gonzalez Suarez ML, Kattah A, Grande JP, Garovic V. Renal Disorders in Pregnancy: Core Curriculum 2019 [published correction appears in Am J Kidney Dis. 2019 Jun;73(6):897]. Am J Kidney Dis. 2019;73(1):119-130. doi:10.1053/j.ajkd.2018.06.006

Amberker D, Ross W. Renal diseases in pregnancy. In: Washington manuel, Alhamad T, Cheng S, Vijayan A (eds). China: Wolters Kluwer; 2021.p.162-72.

Garovic VD, Dechend R, Easterling T, et al. Hypertension in Pregnancy: Diagnosis, Blood Pressure Goals, and Pharmacotherapy: A Scientific Statement From the American Heart Association [published correction appears in Hypertension. 2022 Mar;79(3):e70]. Hypertension. 2022;79(2):e21-e41. doi:10.1161/HYP.0000000000000208

Magee LA, Brown MA, Hall DR, et al. The 2021 International Society for the Study of Hypertension in Pregnancy classification, diagnosis & management recommendations for international practice. Pregnancy Hypertens. 2022;27:148-169. doi:10.1016/j.preghy.2021.09.008

Tita AT, Szychowski JM, Boggess K, et al. Treatment for Mild Chronic Hypertension during Pregnancy. N Engl J Med. 2022;386(19):1781-1792. doi:10.1056/NEJMoa2201295

Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists’ Task Force on Hypertension in Pregnancy. Obstet Gynecol. 2013;122(5):1122-1131. doi:10.1097/01.AOG.0000437382.03963.88

Petca A, Miron BC, Pacu I, et al. HELLP Syndrome-Holistic Insight into Pathophysiology. Medicina (Kaunas). 2022;58(2):326. Published 2022 Feb 21. doi:10.3390/medicina58020326

Fishel Bartal M, Sibai BM. Eclampsia in the 21st century. Am J Obstet Gynecol. 2022;226(2S):S1237-S1253. doi:10.1016/j.ajog.2020.09.037

Magee LA, von Dadelszen P, Rey E, et al. Less-tight versus tight control of hypertension in pregnancy. N Engl J Med. 2015;372(5):407-417. doi:10.1056/NEJMoa1404595

Piccoli GB, Alrukhaimi M, Liu ZH, Zakharova E, Levin A; World Kidney Day Steering Committee. What we do and do not know about women and kidney diseases; questions unanswered and answers unquestioned: reflection on World Kidney Day and International Woman's Day. BMC Nephrol. 2018;19(1):66. Published 2018 Mar 15. doi:10.1186/s12882-018-0864-y

Rolnik DL, Nicolaides KH, Poon LC. Prevention of preeclampsia with aspirin. Am J Obstet Gynecol. 2022;226(2S):S1108-S1119. doi:10.1016/j.ajog.2020.08.045

Corrales M, Corrales-Acosta E, Corrales-Riveros JG. Which Antibiotic for Urinary Tract Infections in Pregnancy? A Literature Review of International Guidelines. J Clin Med. 2022;11(23):7226. Published 2022 Dec 5. doi:10.3390/jcm11237226

Gupta K. Urinary tract infections and asymptomatic bacteriuria in pregnancy. In: Uptodate 2022, Calderwood SB, Lockwood CJ, Bloom A (eds).

Gama RM, Clark K, Bhaduri M, et al. Acute kidney injury e-alerts in pregnancy: rates, recognition and recovery. Nephrol Dial Transplant. 2021;36(6):1023-1030. doi:10.1093/ndt/gfaa217

Shah S, Verma P. Pregnancy-Related Acute Kidney Injury: Do We Know What to Do? Nephron. 2022; 1-4. doi: 10.1159/000525492. [Epub ahead of print]

Mehrabadi A, Liu S, Bartholomew S, et al. Hypertensive disorders of pregnancy and the recent increase in obstetric acute renal failure in Canada: population based retrospective cohort study. BMJ. 2014;349:g4731. Published 2014 Jul 30. doi:10.1136/bmj.g4731

Piccoli GB, Daidola G, Attini R, et al. Kidney biopsy in pregnancy: evidence for counselling? A systematic narrative review. BJOG. 2013;120(4):412-427. doi:10.1111/1471-0528.12111

Wiles K, Chappell L, Clark K, et al. Clinical practice guideline on pregnancy and renal disease. BMC Nephrol. 2019;20(1):401. Published 2019 Oct 31. doi:10.1186/s12882-019-1560-2

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Published

2023-01-26

How to Cite

Bardak Demir, S. (2023). Pregnancy and The Kidneys: A Brief Systematic Review: Pregnancy and Kidneys. Journal of European Internal Medicine Professionals, 1(1), 16–19. https://doi.org/10.5281/zenodo.7562220

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Review or Metaanalysis

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