{"title":"From improbable to possible: pregnancy with advanced chronic kidney disease","authors":"Alejandra Orozco-Guillén","doi":"10.1038/s41581-024-00882-6","DOIUrl":null,"url":null,"abstract":"<p>Reproductive health is an acknowledged right, yet women with chronic kidney disease (CKD) not only face reduced fertility but also higher risks of adverse pregnancy outcomes for mother and baby. These risks are higher in underserved populations, but they can be minimized through empowerment, education and adequate health-care support.</p><p>In Mexico, nearly 37% of the population lives in poverty, with ~8% living in extreme poverty, and this social context affects access to health care. Consequently, after a first encounter at birth, often the second time a woman sees a doctor is when she gets pregnant. Kidney disease is therefore often undiagnosed and might only be detected during pregnancy. Poverty, low availability and limited quality of medical services, lack of family planning programmes, and a high frequency of adolescent pregnancy translate into high morbidity and mortality in high-risk pregnancies.</p>","PeriodicalId":19059,"journal":{"name":"Nature Reviews Nephrology","volume":null,"pages":null},"PeriodicalIF":28.6000,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nature Reviews Nephrology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1038/s41581-024-00882-6","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Reproductive health is an acknowledged right, yet women with chronic kidney disease (CKD) not only face reduced fertility but also higher risks of adverse pregnancy outcomes for mother and baby. These risks are higher in underserved populations, but they can be minimized through empowerment, education and adequate health-care support.
In Mexico, nearly 37% of the population lives in poverty, with ~8% living in extreme poverty, and this social context affects access to health care. Consequently, after a first encounter at birth, often the second time a woman sees a doctor is when she gets pregnant. Kidney disease is therefore often undiagnosed and might only be detected during pregnancy. Poverty, low availability and limited quality of medical services, lack of family planning programmes, and a high frequency of adolescent pregnancy translate into high morbidity and mortality in high-risk pregnancies.
期刊介绍:
Nature Reviews Nephrology aims to be the premier source of reviews and commentaries for the scientific communities it serves.
It strives to publish authoritative, accessible articles.
Articles are enhanced with clearly understandable figures, tables, and other display items.
Nature Reviews Nephrology publishes Research Highlights, News & Views, Comments, Reviews, Perspectives, and Consensus Statements.
The content is relevant to nephrologists and basic science researchers.
The broad scope of the journal ensures that the work reaches the widest possible audience.