Special Issue "Kidney Diseases and Kidney Involvement in Pregnancy: the Crossroad of Obstetrics, Nephrology, Urology and Internal Medicine"
Deadline for manuscript submissions: closed (5 February 2019) | Viewed by 84369
2. Department of Clinical and Biological Sciences, ASOU San Luigi, University of Turin, 10124 Turin, Italy
Interests: CKD; dietary management and CKD; hemodialysis; tailored dialysis (daily dialysis, incremental dialysis); ethical aspects; long term outcomes; pregnancy and CKD; pregnancy and dietary management in kidney transplantation
Special Issues, Collections and Topics in MDPI journals
Special Issue in Nutrients: Parental Diet for Offspring Health
Special Issue in Journal of Clinical Medicine: Kidney Diseases and Kidney Involvement in Pregnancy: The Crossroad of Obstetrics, Nephrology, Urology and Internal Medicine – Part II
Topical Collection in Kidney and Dialysis: Teaching Cases in Nephrology, Dialysis and Transplantation
Special Issue in Kidney and Dialysis: Obstetric Nephrology—Emerging Field Both in Obstetrics and Nephrology
Interests: obstetrics; pathological pregnancy; kidney disease in pregnancy; urological disease in pregnancy; cardiotocography; fetal monitoring in labour; STAN; operative delivery
Special Issues, Collections and Topics in MDPI journals
Interests: clinical nephrology (in particular: pregnancy and kidney diseases; lupus and immunologic renal diseases; nutritional treatment of chronic kidney diseases and predialysis care; rare diseases); dialysis (and in particular peritoneal dialysis); epidemiology of chronic kidney disease and of its treatments
Obstetric Nephrology is a new branch of clinical nephrology gaining increasing attention in the last years.
There are at least four good reasons for this:
- The great improvement in the care of high-risk pregnancy and in prenatal care.
- The advances in Nephrology, in particular in dialysis care, making pregnancy, once almost impossible, a potential, albeit still difficult, option for women with end-stage kidney disease on dialysis.
- The higher awareness of the importance of kidney involvement in different fields of internal medicine, such as diabetology, immunology or infectious diseases.
- Patient empowerment, that puts the choice of having a baby more in the patient’s hands than in the physician’s ones, thus actually changing the balance in the case of “contraindicated” pregnancies.
Indeed, in 2018, the world kidney day fell in the same occasion of the international woman’s day, and this was the occasion for focussing the yearly campaign on women and kidney diseases in general and on pregnancy in kidney diseases in particular.
New knowledge suggests that even mild renal involvement, characterised by an initial reduction of functioning kidney tissue, without loss of kidney function, such as pyelonephritis scars, immunologic diseases or early diabetic nephropathy may increase pregnancy related risks.
Conversely, preeclampsia, HELLP syndrome and intrauterine growth restriction are associated with future risk of chronic kidney disease and hypertension in the mother and with an increased risk of cardiovascular, metabolic and kidney diseases in the babies, in particular if born small for gestational age or premature. The increasing age at pregnancy and the development of assisted fertilisation techniques may contribute to enhance the risk for preeclampsia; the impact on future kidney disease is a potential concern.
Due to the extreme heterogeneity of kidney diseases, as for pathogenesis, causes, stages and associated conditions we need more information on how to follow-up pregnancies in their presence; furthermore, the impact of the different combinations and grades of pre-term delivery, intrauterine growth restriction and neonatal problems on future health still needs being unravelled.
The present Special Issue aims to get new, multidisciplinary insights to improve knowledge and patient management.
Prof. Dr. Giorgina Barbara Piccoli
Dr. Rossella Attini
Dr. Gianfranca Cabiddu
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- Kidney diseases
- Small babies
- Neonatal care
- Kidney transplantation
- Immunologic diseases
- Renal malformations
- Diabetes and diabetic nephropathy
- Hypertensive disorders of pregnancy