Journal
BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY
Volume 57, Issue -, Pages 77-88Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.bpobgyn.2018.12.003
Keywords
Pregnancy; Kidney disease; Shared decision-making; Patient experience; Maternal health; High risk
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Achieving parenthood is often a priority and goal for women with chronic kidney disease (CKD). It can be challenging due to medical and emotional complexities around pregnancy planning and care, increased risk of adverse maternal and fetal outcomes, fears about medications such as immunosuppressants and fetal harm, and concerns regarding the impact of pregnancy on women's kidney health. Navigating the pathways for shared decision-making regarding parenthood requires an understanding of the patient's experiences, values, priorities, and needs. In this review, we describe the patient perspective of high-risk pregnancies including those complicated by CKD and outline recommendations for counseling that incorporate these perspectives to improve the patient experience. (C) 2019 Elsevier Ltd. All rights reserved.
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