My name's Kate Bramham. I'm a Consultant Nephrologist at King's College Hospital,
and I'd like to talk about "Kidney Disease and Pregnancy: a New Era".
I have no disclosures.
So the objectives of the talk, today,
are to get a better understanding of how we use pre-pregnancy counseling in women who
got chronic kidney disease and an important part of
that counseling process is to be able to assess their fertility.
We're also going to talk about how we can
optimize pregnancy outcomes for women with chronic kidney disease,
and also briefly right at the end of the talk,
just to touch upon some of the drugs that we use in pregnancy because that
often cause a lot of anxiety for healthcare professionals.
So there's been a dramatic change in the management of patients
who have chronic kidney disease and particularly with their attitude towards pregnancy.
Historically, a lot of women have been told that they shouldn't conceive because of
the likely poor outcome for their offspring but
also because of the risk of progression of their kidney disease.
Unfortunately, that's didactic practice
that happened in the past has caused a lot of harm to
our women's perception of their approach to pregnancy
and I think that now things are starting to change certainly in the modern day.