IgA Nephropathy in pregnancy

 

IgA Nephropathy in pregnancy

Having treated 5 cases of IgA Nephropathy in last 6 years and having live babies in pregnancy -I am writing this blog for public Awareness.

What is IgA Nephropathy in pregnancy?

  • IgA nephropathy (also known as Berger’s disease) is the most common form of chronic glomerulonephritis affecting women of childbearing age.
  • It is most often diagnosed between 16 and 35 years of age.
  • IgA nephropathy can coexist with a number of other conditions such as systemic lupus erythematous,, hepatitis,
  • Though the disease usually runs a slow course, with signs of renal damage visible in 10-20 years post-diagnosis, about 25% of adults with IgA nephropathy will develop endstage renal failure.

Effect of pregnancy on IgA nephropathy

  • In women with; normal or near normal renal function before conception, pregnancy does not worsen the course of IgA nephropathy.
  • Moderate to severe renal impairment ; pregnancy is not advisable

 

Pregnancy outcomes are largely determined by:

  • Extent of pre-existent renal impairment
  • Amount of proteinuria
  • Significant tubule-interstitial damage found on renal biopsy.

TREATMENT

  • Low-dose aspirin should be considered from about 12 weeks gestation onwards, continued till the end of pregnancy.
  • Serial fetal growth scans from 26 weeks gestation at monthly intervals.
  • Close monitoring of KFT & Fetal monitoring

 

           Contact: 9650511339 / 9650588339

      http://www.drshardajain.com/

http://www.lifecarecentre.in

 

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