This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 18. Gynecology And Obstetrics Chapter 251. However, some women with more severe renal disease have borne viable infants, as have some who were on maintenance dialysis or who have had a kidney transplant. Pregnancy seems to have no significant effect on noninfectious renal disease as long as hypertension is absent or controlled.
Treatment requires close consultation with a nephrologist.
The incidence of preeclampsia is high. Hospitalization after 28 wk of pregnancy should be considered because delivery before term may be necessary to save the newborn. Vaginal delivery may be chosen if it appears easy and the cervix is ripe, but cesarean section is usually necessary. All rights reserved.