What is the impact of nephritis in pregnant women on the fetus?

Nephritis can cause great harm to humans. No matter what type of nephritis it is, it will increase the burden on the kidneys, especially for pregnant women. If you suffer from nephritis in the early stages of pregnancy, severe high fever may cause fetal malformations. Therefore, you must go to the hospital for examination and consult a doctor. If you suffer from nephritis in the late or mid-pregnancy, you must do a prenatal check-up. If you feel any discomfort, go to the hospital immediately.

Pregnant women with nephritis are generally divided into three categories clinically:

(1) With proteinuria but no hypertension: This type of pregnant woman has fewer complications and a better prognosis for the fetus.

(2)(2) Symptoms of proteinuria and hypertension: 70% of pregnant women of this type develop hypertension during the pregnancy. The symptoms of kidney disease are severe and appear early, usually before 28 weeks of pregnancy. The perinatal mortality rate of neonates is high, and pregnant women may die from kidney disease during pregnancy and after delivery.

(3)(3) Proteinuria, hypertension and azotemia: The clinical manifestations of renal insufficiency in this type of pregnant women are already quite obvious, and the prognosis is extremely unfavorable. Generally, the fetus will die in utero or premature birth before 28 weeks. The mother is also in great danger and may die of chronic renal failure shortly after delivery.

If a pregnant woman suffers from nephritis, those with weak constitution or anemia can take appropriate supplements of nourishing products. After the second trimester of pregnancy, you should lie on your left side when resting in bed, and go to the hospital regularly to check your blood pressure and have urine tests. If blood pressure increases and edema is severe, antihypertensive and diuretic drugs should be used promptly. When there is concurrent infection, antibiotics should be selected that have no toxic side effects on the kidneys. Such as ampicillin and cefixime. Because chronic nephritis can easily cause intrauterine growth retardation or stillbirth, attention should be paid to fetal monitoring during pregnancy (B-ultrasound to understand fetal development, placental function, and amniotic fluid. Fetal monitoring can also be done to understand whether the fetus is suffering from hypoxia in the uterus) so as to promptly detect and deal with abnormal intrauterine conditions of the fetus. After 28 weeks of pregnancy, it is best to be hospitalized to observe changes in the condition and take reasonable treatment measures, such as combining traditional Chinese and Western medicine, to achieve better results. If blood pressure rises significantly to 21.3/13.3KPA and is difficult to control after active treatment, serum creatinine reaches or exceeds 265.2 micromol/L, disc function is severely impaired or stillbirth occurs, the pregnancy should be terminated promptly.