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PREGNANCY CARE FOR PATIENTS WITH KIDNEY DISEASE

Kidney (RENAL) disease is not that common, but among women up to a certain extent it is. During pregnancy time, to a small percentage of women may undergo this problem. This may be their failing kidney function. But you don’t need to worry. Srishti Assisted Fertility and Advanced Laparoscopy (SAFAL), an exclusive clinic for reproductive medicine center situated at the core of Puducherry, is here to assist you

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During a normal pregnancy the renal function undergoes physiological and anatomic changes.

Physiological changes

The renal plasma flow rate escalates 50-70% during pregnancy (heavy load for kidneys), this change may be more visible during the first 2 trimester. This results in an increased glomerular filtration rate (GFR), that is, 150% of normal. This will be reducing the levels of both blood urea nitrogen (BUN) and creatinine. These changes may lead to renal disease during pregnancy.

Anatomic changes

During the conception period the female body will show some anatomic changes. The size of the kidney will be increasing by about 1-1.5 cm. A dilatation of the uterus and pelvis occurs and is presumed to be secondary to the smooth muscle–relaxing effect of progesterone. This dilatation is often more pronounced on the right side secondary to dextrorotation of the uterus and dilatation of the right ovarian venous plexus, which in turn can lead to urinary stasis and, as discussed later, an increased risk of developing urinary tract infections (UTIs).