Postpartum kidney assessment after hypertensive disorders of pregnancy: A practical framework for obstetric care - PubMed
3 hours ago
- #postpartum care
- #hypertensive disorders
- #kidney assessment
- Hypertensive disorders of pregnancy, like pre-eclampsia, signal future maternal cardiovascular and renal risks.
- Postpartum care often focuses on blood pressure, with kidney assessment inconsistently included in routine follow-up.
- Persistent renal abnormalities, such as albuminuria or proteinuria, may occur postpartum, not always caught by blood pressure or creatinine alone.
- Pregnancy-associated acute kidney injury, defined by KDIGO criteria, is a high-priority condition requiring attention.
- High-risk groups include those with severe or preterm disease, persistent hypertension, antenatal renal issues, acute kidney injury, or pre-existing conditions.
- A proposed postpartum framework involves blood pressure, serum creatinine with eGFR, and urinary albuminuria/proteinuria tests, with follow-up based on findings.
- This approach helps obstetric services identify incomplete renal recovery without creating a separate nephrology pathway.