Friday 20 July 2012

Patients with diabetic nephropathy in pregnancy

Can pregnant women with diabetes are more concerned with pregnancy is indeed a difficult thing for women with diabetes in clinical practice, generally women with diabetes is more than pregnancy should not be, then, female patients with diabetic nephropathy inability to conceive it?
Normally we all know, the women's stage of pregnancy is a very painful process, a female friend during the loss of a considerable portion of the blood. When female fertility, the body's blood circulation faster, blood volume will be an increase of about 1/3 or more than before pregnancy. Due to the increase in the amount of blood circulation through the renal blood flow will increase, thus pregnancy will increase the burden on the kidneys. While, if ever, women suffering from diabetic nephropathy did not receive a thorough treatment, the symptoms of diabetic nephropathy has not been alleviated, and associated with high blood pressure and urinary protein, then the pregnancy will lead to the aggravation of glomerular lesions, leading to renal failure easy, but in the latter part of pregnancy complicated by pregnancy induced hypertension.
Pregnancy induced hypertension deterioration of diabetic nephropathy. Which will affect the function of the placenta, resulting in the infant hypoxia, premature birth and stillbirth. Therefore, female patients with diabetic nephropathy, if the pregnancy will have adverse maternal and child female patients with diabetic nephropathy pregnancy?
Patients with diabetic nephropathy can not be pregnant it? Especially for women, women have the following symptoms in patients with diabetic nephropathy should not be pregnant:
1, in patients with moderate renal insufficiency can not be pregnant. Such patients, such as the high incidence of fetal growth retardation and premature pregnancy, and maternal renal function can also be a progressive deterioration.
2, patients with secondary renal diseases such as lupus nephritis can not be pregnant. These patients after pregnancy can induce or aggravate the condition, it should be very careful.
Nephrotic syndrome due to low plasma albumin. This situation often leads to fetal growth retardation and preterm children is not conducive to the principles of eugenics.