Main description:

The 54th RCOG Study Group brought together a range of experts from across many disciplines to examine the most up-to-date evidence on all aspects of diagnosis and management in women with renal problems before, during and after pregnancy. This book presents the findings of the Study Group, describing many of the issues likely to be faced in clinical practice and providing valuable information for all healthcare professionals working in this field. General principles for optimal management are clearly defined and separate chapters are devoted to specific disease entities and/or clinical situations. Many controversial areas - such as management of hypertension, diagnosis of pre-eclampsia, assisted conception, rationalisation of the many medications used in nephrology practice, renal biopsy, surgical emergencies, patient input and responsibilities - are carefully considered.

Contents:

Part I. Renal Physiology in Pregnancy: 1. Recent advances in renal physiology in pregnancy Chris Baylis; Part II. Patterns of Care: 2. Prepregnancy counselling and risk assessment: general overview Liz Lightstone; 3. Chronic kidney disease in pregnancy: patterns of care and general principles of management Mark A. Brown; 4. Midwifery issues Kylie Watson; 5. Postpartum follow-up of antenatally identified renal problems Liz Lightstone; Part III. Chronic Kidney Disease: 6. Pregnancy and dialysis Liam Plant; 7. Pregnancy and the renal transplant recipient Sue Carr; 8. Reflux nephropathy in pregnancy Nigel J. Brunskill; 9. Lupus and connective tissue disease in pregnancy Mike Venning and Mumtaz Patel; 10. Diabetic nephropathy in pregnancy Andrew McCarthy; Part IV. Drugs Used in Renal Disease in Pregnancy: 11. Drugs in women with renal disease and transplant recipients in pregnancy Graham W. Lipkin, Mark Kilby and Asif Sarwar; 12. Management of hypertension in renal disease in pregnancy Mark Kilby and Graham W. Lipkin; 13. Assisted reproduction in women with renal disease Jason Waugh; Part V. Acute Renal Impairment: 14. Acute renal failure in pregnancy: causes not due to pre-eclampsia David Williams; 15. Pre-eclampsia-related renal impairment Louise Kenny; 16. Renal biopsy in pregnancy Nigel J. Brunskill; Part VI. Urology and Pregnancy: 17. Urological problems in pregnancy Jonathon Olsburgh; Part VII. Surgical and Medical Issues Specific to Renal Transplant Patients: 18. Surgical issues of renal and renal/pancreas transplantation in pregnancy John Taylor; 19. Comorbid conditions that can affect pregnancy outcome in the renal transplant patient Sue Carr; Part VIII. Consensus Views: 20. Consensus views arising from the 54th Study Group: Renal Disease in Pregnancy; Index.