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Can IgA Nephropathy Patients Take Pregnancy

Question: Hi, I have IgA Nephropathy since two years. Can I take pregnancy?

Can IgA Nephropathy Patients Take PregnancyAnswer: IgA Nephropathy is a very common glomerulonephritis. Many patients have the similar doubt as you.

In theory, kidney disease in women does not affect the process of conception itself, but because the mother needs a lot of nutrition during the subsequent pregnancy, the renal burden has been significantly increased. Therefore, female kidney patients should take a very cautious attitude towards parenting and need to be carefully evaluated. The risk factors for pregnancy in female patients with kidney disease are mainly as follows: the level of renal function (serum creatinine or glomerular filtration rate), the amount of urine protein, whether the blood pressure is increased, and the degree of renal pathological damage.

(1) Renal function. In general, the risk of pregnancy increases if creatinine is already elevated, so pregnancy is not recommended. If creatinine is not high and the condition is stable, pregnancy can be considered.

(2) Proteinuria. When renal function is normal and 24h urine protein is below 1g, the successful rate of pregnancy is high, and the risk will be lowered.

(3) High blood pressure. IgA Nephropathy patients is often accompanied by high blood pressure. If blood pressure is well controlled, kidney function is normal, urinary protein is low, the risk of pregnancy is low, but you should pay attention to the affect of anti-hypertensive drugs on pregnancy. If there is a pregnancy plan, blood pressure medication should be discontinued before the planned pregnancy. If the blood pressure medication cannot be withdrawn, anti-hypertensive medication that has no effect on pregnancy should be replaced. Before and during pregnancy, antihypertensive such as ACEI and ARBs such as benazepril and losartan should be avoided, and you can choose metoprolol, etc.

Can IgA Nephropathy patients take pregnancy? Now you get the answer. If you still have any other questions on IgA Nephropathy, please leave a message below or contact online doctor.

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Hope the above information is helpful for you. If you have any other questions on kidney disease or want to get more personalized and professional treatment suggestions, please leave a message below.







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