gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Diabetic nephropathy in pregnancy


Abstract

Author(s): Agnieszka Nalewczyńska, Agnieszka Timorek, Magdalena Klemińska-Nowak

Chronic renal insufficiency complicates an increasing number of pregnancies, and at least 4% of females in reproductive aged suffer from renal failure. Although diabetic nephropathy is the most common type of chronic renal insufficiency seen in gravidas, a wild variety of other primary and secondary renal disorders may also occur. High serum creatinine concentration in pregnancy is a risk factor for adverse maternal and neonatal outcomes, independently of quantity of total urinary protein excretion and glycaemic control during any trimester. The influence of pregnancy on the progression of diabetic nephropathy in diabetic women with pre-existing moderate renal insufficiency is still a controversial subject in the contemporary medical literature