Nottingham Renal and Transplant Unit, Nottingham University Hospitals NHS Trust, City Campus, Hucknall Road, Nottingham, NG5 1PB, United Kingdom.
Am J Kidney Dis. 2016 Oct;68(4):633-639. doi: 10.1053/j.ajkd.2016.04.022. Epub 2016 Jun 25.
In women with chronic kidney disease (CKD), pregnancy outcomes have improved over the last 50 years, particularly in the developed world. Maternal mortality is now extremely low, fetal survival has markedly increased (even in women with CKD stages 4-5), and it is now the exception for women with CKD to be advised against embarking on a pregnancy. However, pregnancies are rarely free from complications, and there are unanswered questions about the longer term effects on maternal and infant health. The developments have led to a more optimistic attitude to pregnancy in women with CKD not requiring renal replacement treatment. The remaining problems are described in this World Kidney Forum.
在过去的 50 年中，患有慢性肾脏病（CKD）的女性的妊娠结局得到了改善，特别是在发达国家。目前，产妇死亡率极低，胎儿存活率显著提高（即使是患有 CKD 4-5 期的女性），现在建议患有 CKD 的女性不要怀孕已经很少见了。然而，妊娠很少没有并发症，对于妊娠对母婴健康的长期影响仍存在一些未解决的问题。这些发展使得对于不需要肾脏替代治疗的 CKD 女性的妊娠态度更加乐观。本世界肾脏论坛描述了剩余的问题。
