Pregnancy and CKD: Advances in Care and the Legacy of Dr Susan Hou

Andrea L. Oliverio, Kate Bramham, Michelle A. Hladunewich*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)

Abstract

Dr Susan Hou began her illustrious nephrology career at a time when pregnancy in women with chronic kidney disease (CKD) was hazardous and actively discouraged. Her pioneering research in women's health provided much of the early outcome data that shaped our current understanding of CKD and pregnancy. Although many uncertainties regarding optimal management of this vulnerable patient group remain, recent decades have witnessed important advances and renewed interest in improving care for pregnant women with CKD. Many nephrologists have been inspired by Dr Hou's lifetime of work and are grateful for her generous collaborations. In this In Practice Review, we honor her legacy by providing an update of current literature and clinical management guidance in the context of a clinical case vignette that challenges us to consider the many complex aspects to the counseling and care of women with CKD who desire a pregnancy.

Original languageEnglish
Pages (from-to)865-875
Number of pages11
JournalAmerican Journal of Kidney Diseases
Volume78
Issue number6
Early online date13 Oct 2021
DOIs
Publication statusPublished - Dec 2021

Keywords

  • Chronic kidney disease (CKD)
  • family planning
  • fertility
  • fetal outcomes
  • kidney failure
  • obstetrics
  • preconception counseling
  • pregnancy
  • reproductive health
  • review
  • sexual dysfunction

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