- Introduction
- E-tutor profile
- Preliminary reading
- Introductory assessment
- Normal renal adaptation to pregnancy
- Asymptomatic bacteriuria
- Renal stones
- Pregnancy in women with renal disease
- Pre-pregnancy counselling
- Antenatal care
- Acute renal failure
- Pregnancy in women on dialysis
- Pregnancy in women with renal allografts
- Final assesment
- Confirmation of learning objectives
Introduction to renal disease
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(A J Photo/HOP Americain/Science Photo Libary.)
Women with chronic renal disease and/or renal allografts can experience straightforward pregnancies that result in the delivery of healthy babies. However, other pregnancies can be complicated by deterioration of renal function, pre-eclampsia, fetal growth problems and exacerbation of the underlying condition.
Successful management depends on a good working knowledge of normal renal physiology, an awareness of the potential complications, an understanding of the general principles of medical disorders in pregnancy, and close working relationships with colleagues in related disciplines, including renal medicine and fetal medicine.
This tutorial describes these principles and will provide you with a deeper understanding of the complexities affecting decision making in these potentially difficult pregnancies.
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Learning objectives When you have completed this tutorial you will be able to:
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Last updated: 23/03/12 (tutorial reviewed and updated by Dr Gemma Wright)
27/10/11 (new preliminary reading added)
14/08/09 (TOG article added in the 'Management before and during pregnancy' section).
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