Pregnancy with Renal Disease: Present Scenario in Tertiary Care Institute in Northern India
| العنوان: | Pregnancy with Renal Disease: Present Scenario in Tertiary Care Institute in Northern India |
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| المؤلفون: | Kalika Dubey, Gargi Vikas Sharma, Rajat Gupta, Amrit Gupta |
| المصدر: | J Obstet Gynaecol India |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Pregnancy, medicine.medical_specialty, 030219 obstetrics & reproductive medicine, business.industry, Anemia, Obstetrics, Obstetrics and Gynecology, Retrospective cohort study, Disease, medicine.disease, 03 medical and health sciences, 0302 clinical medicine, Obstetrics and gynaecology, Medicine, Gestation, Small for gestational age, Original Article, 030212 general & internal medicine, Lost to follow-up, business |
| الوصف: | Renal disease has always been a challenge for the treating obstetrician. With new advances in the management of renal disease, an increasing number of patients can continue the pregnancy and with individualization have a better outcome. MATERIAL AND METHODS: To analyze the pregnancy outcomes in renal disease, a retrospective cohort observational study over 5 years at a tertiary care institute in northern India was done. All the pregnant women with pre-existing renal disease of any etiology presenting at any period of gestation who consented were included and those not consenting were excluded from the study. RESULTS: Of 62 patients enrolled, 82.26% (n = 51) were followed,17.74%(n = 11) were lost to follow up. 58.82% (n = 30) had to undergo termination of pregnancy and 41.18%(n = 21) had delivery after 28 weeks of gestation. The antenatal complications seen were hypertension in 15.69%, diabetes mellitus in 9.80%, anemia in 5.88%. Fetal complications included preterm delivery (42.85%) and small for gestational age babies(61.90%). Cesarean delivery was 85.71% and normal delivery in 14.29% of patients. CONCLUSION: Both maternal and fetal outcomes are influenced by the cause and degree of renal dysfunction. A better outcome is seen when the renal disease is under control, good antenatal follow-up, multidisciplinary approach, and timely delivery. |
| تدمد: | 0975-6434 0971-9202 |
| DOI: | 10.1007/s13224-021-01427-8 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f168cea2722d9a7918779d2359ab1475 https://doi.org/10.1007/s13224-021-01427-8 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....f168cea2722d9a7918779d2359ab1475 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 09756434 09719202 |
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| DOI: | 10.1007/s13224-021-01427-8 |