Can Baby Having a Kidney Cyst Cause Preterm Labor
Kidney disease changes many things in a adult female's life. But it doesn't necessarily take away her desire to take a baby.
Separately, both pregnancy and kidney affliction are hard on the body. The same is true of conditions that affect kidney function, such as diabetes, lupus, and chronic high blood pressure level.
Together, however, pregnancy and kidney disease present complications to a patient's current and future health. Women with chronic kidney disease are at higher adventure for complications such every bit preeclampsia, restricted fetal growth, preterm commitment, and need for cesarean-section (C-section).
These challenges must be advisedly managed with the help of a specialized care squad that includes a nephrologist and a maternal-fetal medicine (MFM) physician. In our loftier-risk pregnancy role, nosotros approach prenatal care with these patients differently based on whether they:
- Had kidney disease prior to pregnancy
- Have received a kidney transplant, or
- Were diagnosed with kidney complications during pregnancy
Considerations for pregnancy with kidney affliction
Kidney illness prior to pregnancy
If you have existing kidney disease, we'd ideally like to see you prior to becoming meaning to aid optimize your health. Weather condition that touch the kidneys are associated with an increased take chances of fetal complications such as preterm birth and pregnancy loss. Some women with moderate to severe kidney affliction develop end-stage renal disease later on pregnancy.
Patients are as well at increased adventure for worsening of existing iron-deficiency anemia, reduced vitamin D levels, and high blood pressure. Your nephrologist and MFM can help go your scarlet blood prison cell, vitamin D, blood force per unit area, and blood saccharide to acceptable levels before pregnancy to aid reduce risks to you and the baby.
During dialysis, pregnant patients face additional challenges. Low kidney function means patients' bodies shop more waste products, which can be detrimental to the growing baby. Dialysis also contributes to fertility changes. Some are biological, such as changes in ovulation and effects of medication that alter the menstrual cycle. Others are emotional, such as non feeling upwardly to having sexual activity or feeling less bonny than when you lot were good for you. However, the National Kidney Foundation reports that sexual function and want returns for most patients subsequently dialysis or transplant.
While it might be difficult, pregnancy on dialysis is possible. A recent written report on fertility during dialysis showed that 18 of every 1,000 women in the study became pregnant during dialysis. Talk with your care squad to make up one's mind whether pregnancy is safety for you, equally well as your options to increment the chance for positive outcomes.
Related reading: 'Can't become meaning' vs. 'shouldn't get significant': Know the divergence
Received a kidney transplant
Later a kidney transplant, we generally recommend women await i to two years after transplant to conceive. Patients can safely consider pregnancy once their risk of organ rejection has been deemed depression and stable kidney function is established.
Pregnancies after kidney transplant tend to take better outcomes than pregnancies during dialysis. Continue to manage your blood pressure and talk with your nephrologist nigh your rejection medications. Many of these drugs are safe during pregnancy only some tin can cause birth defects or pregnancy complications. Your care team can assistance you find a safer alternative, ideally before you conceive.
Diagnosed with kidney complications during pregnancy
Aside from renal disease, other wellness conditions can cause kidney trouble during pregnancy:
- Infections: Asymptomatic bacteriuria is a urinary tract infection without symptoms. Left untreated, it can evolve into a kidney infection (pyelonephritis). Kidney infections usually require hospitalization and IV antibiotic therapy. Complications are more than severe in meaning women and can include respiratory issues for mom and preterm delivery.
- Kidney stones: Pregnancy does not increase the gamble of kidney stones. Nonetheless, the dilation of the ureter that comes during pregnancy might make information technology easier for you to laissez passer stones during pregnancy. Handling normally consists of hydration and over-the-counter pain medicine.
- Preeclampsia: Pregnancy-related high claret pressure is associated with reduced kidney office and can atomic number 82 to preterm nativity. High amounts of protein in the urine can be a warning sign of preeclampsia, so we check for it often. That's why we inquire for then many urine samples at prenatal appointments toward the end of your pregnancy.
Patients who hemorrhage or have placental abruption might develop acute kidney injury (AKI), or sudden kidney failure. Fortunately, management of these weather condition has improved, and AKI is not common.
What to expect during and after delivery
Your doctor volition bank check your claret pressure regularly. In some cases, nosotros will recommend aspirin therapy to help manage claret pressure. We will also want to monitor fetal growth using ultrasound during the second and third trimesters.
If you lot or your baby feel concerning issues, the medico might recommend that y'all evangelize a few weeks early on. You lot might exist induced or accept a scheduled C-section – your care will be individualized.
We'll likewise talk about long-term birth control options such every bit intrauterine devices (IUDs) to help you avoid another pregnancy until you are ready.
If y'all have kidney disease and want to become pregnant, we want to come across you. Together, we tin navigate your challenges and provide the knowledge you need to make informed decisions about your pregnancy.
Practice you need to run into an MFM doctor? Call 214-645-8300 or asking an engagement online.
Source: https://utswmed.org/medblog/kidney-disease-pregnancy/
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