From a medical point of view, the blood circulation in the body increases by about 30% after pregnancy, and the filtration of the kidneys also increases by 30% to 40%. If the kidneys are diseased and cannot adapt to the physiological needs of pregnancy, it will increase the burden on the kidneys and most likely promote the worsening of kidney disease. Not only that, if the kidney disease is serious, it will interfere with the continuation of pregnancy. Pregnant women with chronic nephritis and increased blood pressure are often accompanied by decreased placental function and insufficient blood supply to the fetus. Intrauterine growth retardation and stillbirth may occur. In pregnant women with severe nephritis, the fetal mortality rate can reach 50%.
In fact, for patients with nephritis, it has little impact on the fertility of male patients and mainly poses a certain risk to women. As the fetus grows, the burden on the mother becomes heavy. Some people develop acute renal failure during pregnancy because their body cannot tolerate it, and eventually choose to terminate the pregnancy. Some mothers’ kidney function is further damaged after giving birth, especially female patients with lupus nephritis. Without intervention, the condition will worsen after pregnancy. In the past, female patients with kidney disease were prohibited from having children due to insufficient awareness and limited intervention methods such as drugs.
Nephritis in the mother will have more or less adverse effects on the growth and development of the fetus. Research data shows that the incidence of miscarriage and premature birth in mothers with nephritis is significantly higher than that in normal women, and the newborns are also more underweight. Some data even say that the incidence of malformations is also higher. From a eugenic perspective, it is better not to give birth. But emotionally there is a choice to \”adapt to the circumstances\”. Indeed, not all women suffering from nephritis will suffer from the above-mentioned misfortunes during childbirth, and most women can successfully give birth to healthy next generations. The degree of maternal influence on the fetus caused by nephritis is closely related to the condition of the nephritis. Those with severe nephritis will have a greater impact on the fetus, while those with mild nephritis will have less impact.
Now that there are drugs that can control the disease without affecting fetal development, nephritis is no longer a restricted area for childbirth, and patients with IgA nephropathy and lupus nephritis can have children. But patients with kidney disease should not blindly have children. First, standard treatment should be carried out for at least two years. After the condition is stabilized, the patient should be evaluated by a nephrologist before considering creating a human. The entire pregnancy must be monitored by a doctor. Uremic patients receiving dialysis are still infertile despite poor kidney function.
There are often patients whose blood creatinine is normal during physical examinations every year, but suddenly discovers an increase in blood creatinine and proteinuria overnight. At this time, 50% of the kidney function has been lost. This is not surprising. Serum creatinine is not a sensitive indicator. Many patients have lost 40% of their kidney function, but their serum creatinine is still within the normal range. If the patient does a routine urine test at the same time, he or she will findAlthough the serum creatinine was normal, protein gradually appeared in the urine. Other patients with kidney disease do not have much proteinuria and do not experience edema. Proteinuria indicates kidney damage, but a few special types of kidney disease often do not have proteinuria.
So patients with nephritis should not only rely on whether their blood creatinine value is normal and whether there is proteinuria to judge whether their kidneys are normal, but they should have a true understanding of their condition under the guidance of a specialist.
Pregnancy is safer when women with chronic nephritis meet the following three conditions: the nephritis condition is stable and there is no urinary tract infection (whether the condition is stable or not should be determined by a nephrologist); serum creatinine is within normal limits Range; multiple blood pressure measurements were within the normal range. If a renal biopsy is performed, the tissue changes in the glomeruli should be mild. In addition, women with chronic nephritis should undergo regular follow-up visits after pregnancy and should not take it lightly.
If a woman suffering from nephritis chooses to have a child, she needs to \”know her enemy and herself\”. In other words, you should learn more about health care and protect yourself and your fetus. It is necessary to go to the hospital regularly to check urine and kidney function, measure blood pressure, and dynamically understand the development of these items. Once adverse changes occur, measures can be taken early to control them. Pay attention to prevent cold, moisture and excessive fatigue. There are generally no special taboos in diet, but the dietary principles should be implemented: light but nutritious, light in taste without abstaining from salt, low in protein but not taboo, nutritionally balanced but not overeating. It is advisable to eat as little alcohol and spicy and irritating food as possible.
This article is provided by Baidu Reading. It is excerpted from \”Very Good Pregnancy: You Can Get Pregnant by Doing This\” Author: Yu Yue\’e