Pregnancy complications and gestational proteinuria and serum creatinine dynamics in women with chronic glomerulonephritis and chronic tubulointerstitial kidney diseases
Introduction. Women with chronic kidney disease (CKD) have an increased incidence of pregnancy complications, but few comparative studies on features of pregnancy course during chronic glomerulonephritis (CGN) and chronic tubulointerstitial kidney disease (CTID) are available.Aim: comparison the fre...
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| Language: | Russian |
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IRBIS LLC
2025-05-01
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| Series: | Акушерство, гинекология и репродукция |
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| Online Access: | https://www.gynecology.su/jour/article/view/2428 |
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| author | E. I. Prokopenko I. G. Nikolskaya D. V. Gubina A. V. Vatazin T. S. Kovalenko E. B. Efimkova |
| author_facet | E. I. Prokopenko I. G. Nikolskaya D. V. Gubina A. V. Vatazin T. S. Kovalenko E. B. Efimkova |
| author_sort | E. I. Prokopenko |
| collection | DOAJ |
| description | Introduction. Women with chronic kidney disease (CKD) have an increased incidence of pregnancy complications, but few comparative studies on features of pregnancy course during chronic glomerulonephritis (CGN) and chronic tubulointerstitial kidney disease (CTID) are available.Aim: comparison the frequency of pregnancy complications, proteinuria (PU) and serum creatinine dynamics in patients with CGN and CTID.Materials and Methods. We conducted an observational single-centre study enrolling 128 pregnant women with CGN (135 deliveries) and 138 with CTID (145 deliveries) by assessing the incidence of complications, diurnal PU, serum creatinine level starting from early gestation to delivery every 4–6 weeks.Results. Favourable pregnancy outcome was observed in 94.8 % of patients with CGN and in 95.7 % with CTID. The incidence of preeclampsia (PE), placental insufficiency, acute kidney injury, and preterm delivery showed no not inter-group differences, but arterial hypertension, PU > 1.0 g/day were more common in CGN, whereas in CTID – urinary tract infections. During pregnancy, PU increased in both groups, and only in CGN in patients with PE early pregnancy PU was significantly higher than in those without PE. Both groups showed similar serum creatinine dynamics: decrease starting from early pregnancy stages, stabilization in the middle of pregnancy followed by elevation from 28–30 weeks of gestational age until delivery.Conclusion. High PU level in early pregnancy may help to predict PE in CGN, but not in CTID. In patients with CKD, rise in PU along with serum creatinine increased up to baseline level in late pregnancy, are typically observed and without PE, fetal distress should not be considered as unambiguous indication for early delivery. |
| format | Article |
| id | doaj-art-e28ef48a4b004fb2a07be20f280bf80c |
| institution | DOAJ |
| issn | 2313-7347 2500-3194 |
| language | Russian |
| publishDate | 2025-05-01 |
| publisher | IRBIS LLC |
| record_format | Article |
| series | Акушерство, гинекология и репродукция |
| spelling | doaj-art-e28ef48a4b004fb2a07be20f280bf80c2025-08-20T02:53:58ZrusIRBIS LLCАкушерство, гинекология и репродукция2313-73472500-31942025-05-0119220121510.17749/2313-7347/ob.gyn.rep.2025.553968Pregnancy complications and gestational proteinuria and serum creatinine dynamics in women with chronic glomerulonephritis and chronic tubulointerstitial kidney diseasesE. I. Prokopenko0I. G. Nikolskaya1D. V. Gubina2A. V. Vatazin3T. S. Kovalenko4E. B. Efimkova5Vladimirsky Moscow Regional Clinical Research Institute; Academician Krasnopolsky Moscow Regional Research Institute of Obstetrics and GynaecologyAcademician Krasnopolsky Moscow Regional Research Institute of Obstetrics and GynaecologyVladimirsky Moscow Regional Clinical Research InstituteVladimirsky Moscow Regional Clinical Research InstituteAcademician Krasnopolsky Moscow Regional Research Institute of Obstetrics and GynaecologyAcademician Krasnopolsky Moscow Regional Research Institute of Obstetrics and GynaecologyIntroduction. Women with chronic kidney disease (CKD) have an increased incidence of pregnancy complications, but few comparative studies on features of pregnancy course during chronic glomerulonephritis (CGN) and chronic tubulointerstitial kidney disease (CTID) are available.Aim: comparison the frequency of pregnancy complications, proteinuria (PU) and serum creatinine dynamics in patients with CGN and CTID.Materials and Methods. We conducted an observational single-centre study enrolling 128 pregnant women with CGN (135 deliveries) and 138 with CTID (145 deliveries) by assessing the incidence of complications, diurnal PU, serum creatinine level starting from early gestation to delivery every 4–6 weeks.Results. Favourable pregnancy outcome was observed in 94.8 % of patients with CGN and in 95.7 % with CTID. The incidence of preeclampsia (PE), placental insufficiency, acute kidney injury, and preterm delivery showed no not inter-group differences, but arterial hypertension, PU > 1.0 g/day were more common in CGN, whereas in CTID – urinary tract infections. During pregnancy, PU increased in both groups, and only in CGN in patients with PE early pregnancy PU was significantly higher than in those without PE. Both groups showed similar serum creatinine dynamics: decrease starting from early pregnancy stages, stabilization in the middle of pregnancy followed by elevation from 28–30 weeks of gestational age until delivery.Conclusion. High PU level in early pregnancy may help to predict PE in CGN, but not in CTID. In patients with CKD, rise in PU along with serum creatinine increased up to baseline level in late pregnancy, are typically observed and without PE, fetal distress should not be considered as unambiguous indication for early delivery.https://www.gynecology.su/jour/article/view/2428pregnancychronic kidney diseaseckdchronic glomerulonephritiscgnchronic tubulointerstitial kidney diseasectidpreeclampsiaреproteinuriapuserum creatinine |
| spellingShingle | E. I. Prokopenko I. G. Nikolskaya D. V. Gubina A. V. Vatazin T. S. Kovalenko E. B. Efimkova Pregnancy complications and gestational proteinuria and serum creatinine dynamics in women with chronic glomerulonephritis and chronic tubulointerstitial kidney diseases Акушерство, гинекология и репродукция pregnancy chronic kidney disease ckd chronic glomerulonephritis cgn chronic tubulointerstitial kidney disease ctid preeclampsia ре proteinuria pu serum creatinine |
| title | Pregnancy complications and gestational proteinuria and serum creatinine dynamics in women with chronic glomerulonephritis and chronic tubulointerstitial kidney diseases |
| title_full | Pregnancy complications and gestational proteinuria and serum creatinine dynamics in women with chronic glomerulonephritis and chronic tubulointerstitial kidney diseases |
| title_fullStr | Pregnancy complications and gestational proteinuria and serum creatinine dynamics in women with chronic glomerulonephritis and chronic tubulointerstitial kidney diseases |
| title_full_unstemmed | Pregnancy complications and gestational proteinuria and serum creatinine dynamics in women with chronic glomerulonephritis and chronic tubulointerstitial kidney diseases |
| title_short | Pregnancy complications and gestational proteinuria and serum creatinine dynamics in women with chronic glomerulonephritis and chronic tubulointerstitial kidney diseases |
| title_sort | pregnancy complications and gestational proteinuria and serum creatinine dynamics in women with chronic glomerulonephritis and chronic tubulointerstitial kidney diseases |
| topic | pregnancy chronic kidney disease ckd chronic glomerulonephritis cgn chronic tubulointerstitial kidney disease ctid preeclampsia ре proteinuria pu serum creatinine |
| url | https://www.gynecology.su/jour/article/view/2428 |
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