Patient's question:
1 diabetes for 15 years, currently has complications of diabetic nephropathy, 2 months pregnantDoctor's answer:
When a woman is pregnant, the amount of blood circulating in her body increases by more than one-third compared to before pregnancy. The increase in blood circulation volume increases the blood flow through the kidneys, so the burden on the kidneys becomes significantly heavier after pregnancy. If a diabetic kidney disease patient has not been completely cured and also suffers from hypertension and proteinuria, pregnancy in women can lead to the exacerbation of glomerular lesions, resulting in kidney failure. Moreover, during the later stages of pregnancy, it is prone to developing preeclampsia. In this way, pregnancy further aggravates kidney damage, allowing diabetic kidney disease to continue deteriorating. This can affect the function of the placenta, leading to fetal hypoxia in the womb, causing premature birth and stillbirth. Therefore, if a diabetic kidney disease patient becomes pregnant, it is harmful to both the mother and the baby.