Pregnancy, diabetes and end-stage kidney disease: Complex care co-ordination for a rare clinical scenario

Pregnancy occurring in the setting of chronic kidney disease requires timely care co-ordination to promote best outcomes. When multiple other co-morbidities exist, the need for strong and effective communication links become essential to supporting best outcomes. The role of the nurse practitioner or advanced practice nurse is well suited to supporting the needs of the pregnant woman and her family, especially when dialysis is required. This paper explores the role of the nurse practitioner during a rare clinical scenario. Clinical considerations, including co-ordination, monitoring and management of intensive renal, diabetic, obstetric, ophthalmic and complex psychosocial care are discussed. The importance of multidisciplinary collaboration, incorporating medical, nursing and allied health professionals from each specialty area underpins the case presented in this educational supplement.