Jianzhen Zhang and Yan Wu*

Department of Obstetrics and Gynecology, Women and Children's Hospital of Jiaxing University, Jiaxing City, Zhejiang Province, China

*Corresponding Author: Yan Wu, Department of Obstetrics and Gynecology, Women and Children's Hospital of Jiaxing University, Jiaxing City, Zhejiang Province, China.

Received: August 28, 2021; Published: September 24, 2021

Abstract

Rationale: With the development of the world medical level, most women with chronic kidney disease can successfully conceive under the joint guidance and management of multidisciplinary cooperation. Patients with chronic kidney disease need to be vigilant about hypertension and preeclampsia during pregnancy. Doctors should reduce the risk and complications of pregnancy in women with chronic kidney disease and increase the fetus's survival rate. Enhance collaboration and joint management of such patients through clinical departments.

Patient Concern: This article reports on the treatment and pre-and post-natal management of a pregnant woman with chronic kidney disease, chronic hypertension, and preeclampsia. The patient had CKD before pregnancy and was diagnosed with chronic hypertension and type II diabetes during CKD stage 2 during pregnancy.

Diagnosis: CKD stage 2, PGDM (type II diabetes), chronic hypertension complicated with preeclampsia, hypertensive retinopathy, one pregnancy, 0 births, 19 weeks and one day of pregnancy.

Interventions: The Women's Health Department included this patient in treating high-risk pregnant women and parturients, full-time staff, dynamic monitoring, and overall management. In this case, the patient is managed through multidisciplinary cooperation, and low-dose aspirin is used to prevent preeclampsia, reasonably lower blood pressure, and control blood sugar.

Outcomes: Although preeclampsia occurred later, the prognosis of mother and child was relatively good.

Conclusion: Pregnant women with CKD and preeclampsia and their offspring have an increased risk of ESRD and chronic diseases. The Ministry of Women's Health and the Ministry of Child Health need to cooperate for follow-up observation and timely intervention. The number of pregnant women with CKD is increasing year by year, and these patients are high-risk groups of preeclampsia during pregnancy. Preeclampsia during pregnancy severely affects the pregnancy outcome of patients with CKD and significantly promotes the progress of basic CKD. In clinical work, attention should be paid to the management of such patients during pregnancy. Multidisciplinary cooperation should be used to prevent and treat preeclampsia based on early prevention, close monitoring, and early diagnosis of CKD to improve mothers and children's prognosis.

Keywords: Pregnant Woman; Chronic Kidney Disease; Chronic Hypertension Complicated with Preeclampsia

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Citation

Citation: Jianzhen Zhang and Yan Wu. “A Case Report of Chronic Kidney Disease and Chronic Hypertension Complicated with Preeclampsia during Pregnancy". Acta Scientific Medical Sciences 2.10 (2021): 45-51.

Copyright

Copyright: © 2021 Jianzhen Zhang and Yan Wu. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.