Parenthood With Kidney Failure: Answering Questions Patients Ask About Pregnancy

Achieving parenthood can be an important priority for women and men with kidney failure. In recent decades, the paradigm has shifted toward greater support of parenthood, with advances in our understanding of risks related to pregnancy and improvements in obstetrical and perinatal care. This review, codesigned by people with personal experience of kidney disease, provides guidance for nephrologists on how to answer the questions most asked by patients when planning for parenthood. We focus on important issues that arise in preconception counseling for women receiving dialysis and postkidney transplant. We summarize recent studies reflecting pregnancy outcomes in the modern era of nephrology, obstetrical, and perinatal care in developed countries. We present visual aids to help clinicians and women navigate pregnancy planning and risk assessment. Key principles of pregnancy management are outlined. Finally, we explore outcomes of fatherhood in males with kidney failure.

Automated summary

This review provides guidance on parenthood planning for individuals with kidney failure, focusing on preconception counseling for women receiving dialysis and postkidney transplant. It summarizes recent studies on pregnancy outcomes in nephrology, obstetrics, and perinatal care, and offers visual aids for pregnancy planning and risk assessment. Key principles of pregnancy management are outlined, and outcomes of fatherhood in males with kidney failure are explored.