The Kidney in Pregnancy

1. Front Matter

   Pages i-xviii

   PDF

2. Renal Hemodynamics in Pregnancy

   • Antonio Dal Canton, Vittorio E. Andreucci

   Pages 1-11

3. Pathogenesis of Preeclampsia

   • Gina Gregorini, Norberto Perico, Giuseppe Remuzzi

   Pages 13-33

4. Coagulation and Pregnancy

   • Edoardo Rossi, Maria Matilde Cossu, Piero Capetta

   Pages 35-45

5. Pathology of the Kidney in Preeclampsia

   • James R. Taylor, Benjamin H. Spargo

   Pages 47-63

6. Renal Function during Normal Pregnancy and the Effect of Renal Disease and Preeclampsia

   • John M. Davison

   Pages 65-80

7. Sodium Metabolism in Normal Pregnancy and in Preeclampsia

   • Wolfram E. Nolten, Edward N. Ehrlich

   Pages 81-94

8. Hypertension Complicating Pregnancy

   • Norman F. Gant, Jack A. Pritchard

   Pages 95-121

9. Treatment of Chronic Hypertension in Pregnancy

   • Vittorio E. Andreucci, Antonio Dal Canton, Domenico Russo

   Pages 123-131

10. Proteinuria During Pregnancy

    • Priscilla S. Kincaid-Smith, Robyn A. North, Gavin J. Becker, Kenneth F. Fairley

    Pages 133-164

11. Acute Renal Failure in Pregnancy

    • Nathalie Pertuiset, Dominique Ganeval, Jean-Pierre Grünfeld

    Pages 165-184

12. Successful Pregnancies in Women on Regular Dialysis Treatment and Women with a Functioning Transplant

    • Sabri Challah, Antony J. Wing, Michel Broyer, Gianfranco Rizzoni

    Pages 185-194

13. Pregnancy Following Renal Transplantation

    • Israel Penn

    Pages 195-204

14. Urinary Tract Infection in Pregnancy

    • Iain R. McFadyen

    Pages 205-229

15. Back Matter

    Pages 231-237

    PDF

The behavior of the kidney in normal pregnancy, as well as in complicated pregnancy, is a very interesting, but still in many ways an unknown topic in renal medicine. It is undoubtedly difficult to determine, even in normal women, the behavior of renal hemodynamics throughout gestation, since the fear of impairing a new life (i.e., the fetus's life) will limit, for ethical reasons, the use or the frequent repetition of diagnostic tests on the mother. On the other hand, the study of complicated pregnancy even for diagnostic purposes (for planning adequate treatment), except in a few countries that are known for the advanced health education of the population, has to face serious difficulties. First of all, pregnant women usually seek the help of an obstetrician when gestation is already in an advanced stage. This makes it difficult to determine when and how asymptomatic signs of any disease discovered during pregnancy have first occurred. A second difficulty is that frequently the patient does not know whether a given disease has preceded pregnancy. Pregnancy is a condition of young women, and a young woman frequently has never seen a physician; thus, no urine analysis or blood tests have been performed before the gestation. Not infrequently, even blood pressure has never been measured. This will make it difficult to classify hypertension discovered in late pregnancy as pregnancy-induced hypertension or as chronic hypertension in pregnancy.

• dialysis
• infection
• kidney
• pregnancy
• transplantation

"... an excellent book that should be present in all the libraries of nephrologists, obstetricians and internists who want to have clear ideas on what happens in kidneys of the pregnant woman and on what to do when morbid conditions appear." (Nephron, 46, 1987)

• Department of Nephrology, Second Faculty of Medicine, University of Naples, Naples, Italy

  Vittorio E. Andreucci

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