PREGNANCY AND ENAL DISEASES
Asymptomatic Bacteriuria (ABU)
·• Asymptomatic bacteriuria during pregnancy may progress to pyelonephritis with a higher rate (20-30%) compared to non-pregnant women. E.coli is the most common causative agent.
Acute Pyelonephritis
• Urosepsis is the most common cause of septic shock during pregnancy. Factors; Escherichia cali (75-80%), Klebsiella pneumoniae (10%), Enterobacter and Proteus (10%).
Chronic renal failure
• Pregnancy outcomes depend on renal functions and the presence and severity of hypertension. The degree of proteinuria does not correlate with pregnancy outcomes.
Complications due to chronic kidney failure
Complications ---------------------------------------------Incidence (%)
maternal
Chronic hypertension ---------------------------------25 - 70
Gestational hypertension------------------------20- 75
Renal dysfunction -----------8 - 43
Temporary pause in kidney functions ----4 - 35
Fetal
Preterm labor ------------7 - 73
IUGG --------------------------8 - 57
Perinatal mortality ------5 - 14