Grossesse et insuffisance rénale chronique : quelle prise en charge en 2023 ? [Pregnancy and chronic renal failure: what is new in 2023?]
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1 mars 2023
- doi: 10.53738/REVMED.2023.19.816.401
- issn: 1660-9379
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Sujets proches
Complications and sequelae Renal failure, Chronic End-stage kidney disease End-stage renal disease Kidney failure, Chronic ESRD (Disease) Renal insufficiency Renal insufficiency, Chronic Chronic renal insufficiency Chronic kidney failure Gestation Gestación Flexion Cisaillement Charge Élasticité Durcissement Déformation Flambement Compression Capacité pulmonaire fonctionnelle au repos Air résiduel fonctionnel CRF Capacité pulmonaire de Gréhant Complications et séquelles Séquelles Portes d'entrée Issues Portes de sortie Insuffisance rénaleCiter ce document
N. Vakilzadeh et al., « Grossesse et insuffisance rénale chronique : quelle prise en charge en 2023 ? [Pregnancy and chronic renal failure: what is new in 2023?] », Serveur académique Lausannois, ID : 10.53738/REVMED.2023.19.816.401
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Chronic renal failure (CRF) during pregnancy increases the risk of fetomaternal complications such as preeclampsia, premature delivery and, above all, a deterioration of renal function. A multidisciplinary preconceptional assessment is necessary in this complex clinical situation. Progress in neonatal resuscitation and a better understanding of the pathophysiological mechanisms of autoimmune nephropathy have improved the prognosis of these high-risk pregnancies. This article provides an overview of the issues related to the follow-up of pregnant women with renal disease. It summarizes the glomerular and hemodynamic physiological changes during pregnancy, the fetal and maternal risk, and the adaptation of antihypertensive and immunosuppressive drug treatments.