Women who have recovered from primary acute nephritis should wait at least three years after clinical symptoms resolve before attempting pregnancy for greater safety.
Pregnancies should be terminated in patients with chronic glomerulonephritis who develop hypertension or mild azotemia.
Women with nephrotic syndrome may conceive if free of hypertension and with normal renal function. However, significant albumin depletion during pregnancy may lead to fetal growth restriction or preterm delivery. Additionally, pregnancy increases thrombosis risk, potentially causing lesions in other organs.
Patients with lupus nephritis should only conceive after achieving complete remission, normal renal function, negative serological test results for over one year, discontinuation of cytotoxic drugs for less than six months, and approval from a nephrologist. Close monitoring throughout pregnancy and for two months postpartum is essential to prevent lupus flare-ups.Kidney damage caused by systemic diseases generally does not worsen during pregnancy. However, hypertension and preeclampsia are common, and fetal death may occur.
Pregnant is absolutely contraindicated for kidney patients with elevated blood pressure or moderate to severe renal impairment.
Women with kidney disease considering pregnancy should consult their nephrologist regarding pregnancy feasibility. After conception, regular check-ups are essential. Starting at 32 weeks gestation, weekly hospital visits are required to monitor urine analysis, blood pressure, renal function, and fetal well-being. Bed rest is indicated for hypertension, and pregnancy termination may be necessary if renal function deteriorates.