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 and 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 they 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. And 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 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. This is
a very helpful review of 16 studies that was published