Post Date December, 03 2023
The treatment of chronic nephritis is quite lengthy, so it is very common for pregnant women with chronic nephritis to have pregnancy. After pregnancy, the burden on the kidneys will increase, and symptoms such as proteinuria, hypertension, and edema will follow. Severe cases can lead to renal failure and even uremia.
Because pregnancy increases the burden on the kidneys, it is easy to develop pregnancy induced hypertension syndrome, often exacerbating renal damage. If it is a non active phase of nephritis and there is only a small amount of proteinuria without increased blood pressure, pregnancy may not aggravate renal damage.
Depending on the degree of nephritis, it also has different effects on fetal development. Chronic nephritis with elevated blood pressure is often accompanied by decreased placental function and insufficient fetal blood supply, which can lead to intrauterine growth retardation, stillbirth, and high perinatal mortality. In pregnant women with severe nephritis, the fetal mortality rate can reach 50%.
It can be seen that whether a woman suffering from nephritis can become pregnant can be divided into the following situations:
1、 Women with chronic nephritis and elevated blood pressure should not become pregnant. After pregnancy, about 75% of patients have severe pregnancy induced hypertension syndrome, with a high incidence of premature birth and stillbirth. "When pregnancy induced hypertension syndrome occurs in pregnant women with nephritis, it can cause preeclampsia and eclampsia. At this time, blood pressure rises very high and is accompanied by headaches, dizziness, nausea, vomiting, and even convulsions.". Eclampsia poses a significant threat to the lives of pregnant women and fetuses. At this time, in addition to active treatment, it is often necessary to terminate pregnancy to reduce the burden on the heart and kidneys.
2、 If the renal function of patients with chronic nephritis does not return to normal, the amount of urine protein increases, reaching "++" → "+++", and the blood urea nitrogen or creatinine increases. It is necessary to prevent the occurrence of renal failure. Such patients should not be pregnant. If it is an early pregnancy, artificial abortion should be performed.
3、 Women with chronic nephritis can become pregnant if their renal function is basically normal, their urine protein is small (micro or "+"), and they have a stable period of time. However, attention should be paid to rest, increase nutrition, eat more protein containing foods, supplement sufficient vitamins, and diet should be light, not too salty. Pay attention to increasing body resistance, avoid various infections, and regularly check renal function. Every prenatal examination should check for swelling, weight gain, blood pressure, and urine protein. If there is only a small amount of proteinuria and there is no increase in blood pressure, health care should be strengthened and careful monitoring should be carried out during pregnancy. The pregnancy outcome is generally good.
If a pregnant woman is diagnosed with chronic nephritis, it is best to undergo sterilization surgery after pregnancy. Therefore, with each pregnancy, the condition of nephritis will worsen, causing severe physical damage to the patient and shortening their life span.
