Gaucherand P, Chalabreysse J P, Audra P, Clément H J, Laurent G, Dargent D, Rudigoz R C
Service de Gynécologie-Obstétrique, Hôpital de la Croix-Rousse, Lyon.
J Gynecol Obstet Biol Reprod (Paris). 1988;17(7):889-95.
There are few cases of chronic renal deficiency associated with pregnancy for the following reasons: lowered fertility, a high level of spontaneous early abortions and unwillingness of doctors to allow such pregnancies to continue. The authors report their personal experience of three cases with different outcomes: one, delivery nearly at term, one premature delivery without complications and one premature delivery with neonatal death. The authors, having studied the literature, point out that there are different problems, on the one hand because od kidney conditions requiring more frequent dialysis and on the other hand the obstetrical conditions and in particular high blood pressure with its risk of premature delivery, and finally of intrauterine growth retardation. Finally, the authors point out how important it is to have effective contraception and, if pregnancy does occur, how important it is for the nephrologist, the obstetrician and the paediatrician to cooperate in the care of the patients.
由于以下原因，妊娠合并慢性肾衰竭的病例较少：生育能力降低、自然早期流产率高以及医生不愿让此类妊娠继续。作者报告了他们三例不同结局的个人经验：一例接近足月分娩，一例早产无并发症，一例早产伴有新生儿死亡。作者在研究文献后指出，存在不同的问题，一方面是因为肾脏疾病需要更频繁透析，另一方面是产科情况，特别是高血压及其早产风险，以及最终的宫内生长受限。最后，作者指出有效避孕非常重要，如果确实发生妊娠，肾病科医生、产科医生和儿科医生在患者护理中合作是多么重要。
