With higher risks to mother and baby in pregnant women with renal disease, critical decision-making is key. Giving practical guidance for antenatal, post-partum and maternity unit challenges, this book supports good practice and evidence-based management. The book includes evidence on antenatal and post-partum care; management of acute kidney injury in the delivery suite; and care guidelines for acute, chronic, and previously undiagnosed kidney diseases. The book also covers acute kidney injury, transplant, dialysis, pre-conception counselling, and medications. Previously published by RCOG, this revised edition includes:: • Updated expert consensus statements • Complete revision, with a new chapter on contraception • Updates in management of acute kidney injury, hypertension, dialysis and pregnancy, renal transplantation and pre-eclampsia. Structured to help clinicians make decisions, this book is for use by obstetricians, renal physicians, maternal medicine clinicians, midwives, urologists and specialist nurses.
Part I. Physiology:: 1. Renal physiology Kate Bramham and Tracy Salter; Part II. Prepregnancy Care:: 2. Prepregnancy counselling and risk assessment Matt Hall and Liz Lightstone; 3. Contraception Kate Wiles; 4. Assisted reproduction in women with renal disease Jason Waugh and Ian Aird; Part III. Antenatal Care:: 5. CKD and pregnancy:: patterns of care and general principles of management Lucy Mackillop and Mark Brown; 6. Midwifery issues Floria Cheng; 7. Drugs in women with renal disease and transplant recipients in pregnancy Graham Lipkin and Asif Sarwar; 8. Management of hypertension in renal disease in pregnancy Jenny Myers and Graham Lipkin; Part IV. Postpartum:: 9. Postpartum follow-up of antenatally identified renal problems Al Ferraro and Liz Lightstone; Part V. Special Conditions:: 10. Pregnancy and dialysis Kainat Shahid, Liam Plant and Michele Hladunewich; 11. Pregnancy and the renal transplant recipient Nadia Sarween, Martin Drage and Sue Carr; 12. Comorbid conditions affecting pregnancy in renal transplant patients Sue Carr and Joyce Popoola; 13. Reflux nephropathy in pregnancy Nigel Brunskill; 14. Lupus and vasculitis in pregnancy Liz Lightstone; 15. Diabetic nephropathy in pregnancy Andrew McCarthy; 16. Urological problems in pregnancy Jonathon Olsburgh and Susan Willis; Part VI. Acute Kidney Injury:: 17. Acute renal failure in pregnancy:: causes not due to pre-eclampsia David Williams; 18. Pre-eclampsia related renal impairment Louise Kenny; 19. Renal biopsy in pregnancy Nigel Brunskill; Appendix. Consensus statements 2017.
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