How should pregnant women with nephritis be treated?

Patient's question:

During pregnancy, it is always particularly uncomfortable, and morning sickness is also very severe. If a pregnant woman gets nephritis, how should it be treated?

Doctor's answer:

Regardless of the type of nephritis, pregnancy will increase the burden on the kidneys, exacerbate the existing condition, increase the incidence of other complications, and even lead to chronic renal failure. However, it should be treated differently. For those with only proteinuria, pregnancy can continue, as the incidence of pregnancy-induced hypertension syndrome is slightly increased but generally mild, with a good prognosis for both the mother and fetus. For those with hypertension, complications are more frequent, the incidence of pregnancy syndrome is high, and artificial abortion is recommended early after pregnancy. If fertility is desired, pregnancy can continue under medical supervision as long as the blood pressure does not exceed 150/100 mmHg after pregnancy. For pregnant women with azotemia, it indicates that their renal function is already impaired, and pregnancy should be terminated promptly to avoid life-threatening risks for the mother.

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