Patient's question:
Pregnancy 3 months+, urinalysis showed 2+ protein. Ultrasound examination revealed no abnormalities in both kidneys. If there are abnormalities detected in blood or urine.Doctor's answer:
Pregnancy complicated with kidney disease is one of the comorbidities of pregnancy, which can have a serious impact on maternal and fetal health. Studies abroad have shown that pregnancy complicated with kidney disease can lead to various adverse pregnancy outcomes, such as preterm birth, fetal physical and neurodevelopmental delays, stillbirth, etc. For the mother, pregnancy can trigger the onset of kidney disease or worsen existing kidney conditions, with severe cases potentially leading to renal failure. If not treated promptly, it can result in maternal mortality.Focus on the kidneys, primarily by assessing whether there are underlying kidney diseases and whether kidney function is intact before pregnancy. The clinical manifestations of chronic kidney disease (CKD) are often subtle. Many patients may not experience discomfort until the late stages. Before pregnancy, they might feel perfectly fine. However, during pregnancy, the increased workload on the kidneys can trigger kidney disease or cause previously mild kidney conditions to rapidly progress, leading to a sharp decline in kidney function and even the development of uremia.
Early detection and early treatment: What are the benefits of identifying chronic kidney disease before pregnancy? First, it can prevent the worsening of kidney disease due to pregnancy. Second, in the early stages of CKD, integrated Chinese and Western medicine treatment can help maintain relatively stable levels over the long term, allowing for normal pregnancy under close monitoring. However, if pregnancy occurs without awareness of the condition, resulting in kidney damage or even renal failure and uremia, it becomes much harder to control with medication. Many patients ultimately require long-term dialysis or kidney transplantation, which significantly impacts quality of life and greatly increases medical expenses.