Summary
doi: 10.25005/2074-0581-2013-15-1-138-148
Gestation in women with a solitary functioning kidney
Chair of Obstetrics and Gynaecology №1 Avicenna TSMU
The presence solitary kidney in women is not a contraindication to pregnancy that confirms by studies of available literature.
Favorable outcomes are possible in 95% of cases when the pregnancy pass in solitary clinically healthy kidney, provided the dynamic monitoring of the urinary system and correctly selected therapy of complications.
In these patients during pregnancy functional status of solitary kidney plays a significant role, which is often accompanied by gestosis, preterm birth, low birth-weight and frequent hypotrophic children, and perinatal mortality.
The most favorable time for a pregnancy - from 2 to 4 years after nephrectomy when functional transformation of organ complete.
Searching data on the incidence patients with a solitary kidney, including pregnant women, was without result in our country, and tactics of the patients with this disorder to require further study and development of algorithms / standards for management of this population.
Keywords: gestational process, the solitary functioning kidney, pyelonephritis.
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