Pregnancy and glomerulonephritis. A review

Authors

  • Jorge Mario Gómez Jiménez Universidad de Antioquia
  • Luis Fernando Arias Restrepo Universidad de Antioquia

DOI:

https://doi.org/10.17533/udea.iatreia.4476

Keywords:

Dialysis, Glomerulonephritis, Pregnancy, Renal biopsy, Renal failure, Segmental focal sclerosis

Abstract

Antecedent: Glomerulal involvement is rare during pregnancy, but the associated morbidity is serious and potentially lethal. How does it affect prognosis?

Objective: To define guidelines for the care of women affected by glomerulal disease during the pregestational stage, gestation and puerperium, and the indications for dialysis and renal biopsy.

Materials and methods: Analysis of textual revisions published between 1980 and 1992, and the publications of Medline between 1993 and 2007 (Pregnancy and Glomerulonephritis).

Results: Few randomized controlled studies were found. Most studies were cross-sectional and cases series, but they allow the assertion that glomerulonephritis adversely affects gestational outcomes and that pregnancyfavors renal damage and the lupus flare.

Conclusion: The incidence of exacerbation of glomerulonephritis is higher during pregnancy and the perinatal and maternal outcomes are affected, especially in the presence of preeclampsia or antiphospholipid syndrome.

 

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Author Biographies

Jorge Mario Gómez Jiménez, Universidad de Antioquia

Ginecobstetra, Profesor Asociado, Departamento de Ginecobstetricia, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.

Luis Fernando Arias Restrepo, Universidad de Antioquia

Nefropatólogo, PhD, Profesor Asistente, Departamento de Patología, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.

Published

2008-06-27

How to Cite

1.
Gómez Jiménez JM, Arias Restrepo LF. Pregnancy and glomerulonephritis. A review. Iatreia [Internet]. 2008 Jun. 27 [cited 2025 Jan. 22];21(2):pág. 140-152. Available from: https://revistas.udea.edu.co/index.php/iatreia/article/view/4476

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Section

Review articles

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