Indeed, having a baby is a sign of blessing and it brings joy and happiness to a mother’s life. But it is risky for a mother who has any disease. Here we are discussing pregnancy with renal disease. Yes it’s challenging but possible.
Being pregnant brings a lot of stress on the mother’s body. If a mother has any disease related to the organ, such as, kidney disease or kidney failure, it can put the mother and the unborn baby’s health at risk.
As a woman, are you thinking about conceiving a baby?
If yes, then you should discuss it with your doctor or any healthcare provider so they can help you out deciding it according to your health. Being a patient with a history of renal disease or having the renal disease at present, then you and your doctor should discuss the aspects that can affect your or your baby’s health.
Kidney disease can change many things in a woman’s life. But it doesn’t necessarily take away her desire to have a healthy child.
But both kidney disease and pregnancy can increase many health-related risks for both baby and a mother and can complicate the situation, which can be harmful to the future too.
Those challenges should be discussed beforehand with nephrologists and gynecologists/obstetrics. As they can approach accordingly some issues which must be observed are
- Stage of kidney disease of mother
- General health
- Age of mother
- Does she have high blood pressure, diabetes, or heart disease
The initial question which comes in mind is,
When should I get pregnant?
This totally depends on the extent and nature of your renal disease. In general, it is better to plan pregnancy sooner, if your kidney function is likely to get worse over time. On the other hand, if you have a kidney disease that flares up and then settles down, such as lupus nephritis, it is better to wait until the flare has settled for at least six months. Your age will also affect your fertility, as can some treatments for kidney conditions. You can talk to your kidney doctor about whether you may need support to get pregnant.
What can be done to protect me from pregnancy complications?
The earliest stages require good antenatal care and protection, so be careful in the early stages for better outcomes. This is particularly true if you have chronic kidney disease. Planning for pregnancy allows you to get pregnant at the right time, while on the right medications and in the best possible health.
Can a woman with MILD kidney disease conceive a baby?
According to shreds of evidence, Yes that a woman with Stage 1 or 2 (very mild) kidney disease, with normal blood pressure, and little or no proteinuria can conceive a healthy baby.
What is proteinuria?
The presence of proteins in urine is a sign of having kidney disease, as it shows that a person’s kidneys are not filtering the blood properly.
But if a woman with moderate to severe kidney disease (stages 3-5), the risk of complications is much higher than in mild; therefore, in that case, it is recommended to avoid conceiving.
Can a woman with dialysis conceive?
This is a very complicated condition to conceive because women who are at dialysis may undergo hormonal changes and may have anemia due to which it can be extremely dangerous to get pregnant in this situation.
Most doctors or healthcare providers suggest the mother to avoid conceiving a baby. But if a woman, having dialysis, gets pregnant, she will be needing close medical supervision, require medicines for her concomitant issue, and more dialysis to have a healthy baby.
Can a woman who had kidney transplant conceive?
Many evidence suggests that yes, a woman with a kidney transplant can conceive. If a woman has a regular menstrual cycle and good general health, then she can get pregnant and have a healthy baby. But it is recommended that a woman with a recent transplant should not go for it, conceiving a baby should be avoided for at least one to two years.
Some medicines that she takes after a kidney transplant can cause problems in the development of the baby, so if a woman is thinking of conceiving she can first consult her health care provider to change the medicines which can harm the child because many types of anti-rejection medicines can affect pregnancy and the baby. These types should be avoided during pregnancy.