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Renal lupus in pregnancy
1Department of Internal Medicine, Peijas Hospital, Vantaa, Finland.
The outlook of pregnancy for women with lupus nephritis is usually favourable if the disease has been quiescent for at least 3 months before pregnancy, and if, at conception, serum creatinine is less than 140 mumol/l, proteinuria less than 3 grams/25 hours and blood pressure controlled. The risk of fetal loss is, however, 2-3 times higher than in the normal population and pre-eclampsia, prematurity and fetal growth retardation frequently complicate these pregnancies. Pregnancies in women with lupus nephritis are high-risk pregnancies and they require intense fetal and maternal surveillance.
The outlook of pregnancy for women with lupus nephritis is usually favourable if the disease has been quiescent for at least 3 months before pregnancy, and if, at conception, serum creatinine is less than 140 mumol/l, proteinuria less than 3 grams/25 hours and blood pressure controlled. The risk of fetal loss is, however, 2-3 times higher than in the normal population and pre-eclampsia, prematurity and fetal growth retardation frequently complicate these pregnancies. Pregnancies in women with lupus nephritis are high-risk pregnancies and they require intense fetal and maternal surveillance.