Kidney disease conditions for consideration of referral for an opinion, advice or MMC led care.
For women requiring MMC led care they are managed in the specialist joint Kidney/ Obstetric clinic on Thursdays mornings at the RVI or at the regional unit at JCUH
Lead Maternal Medicine Obstetrician- Dr K Hodson
Lead Obstetric Nephrologist- Dr L Baines
JCUH Kidney/Obstetric Clinic
Lead Maternal Medicine Obstetrician- Dr D Meneni
Lead Nephrologist- Dr S Kardasz
UK Kidney Association- Clinical practice guideline pregnancy and renal disease- Pregnancy and Renal Disease | UK Kidney Association
International society of nephrology- Pregnancy and kidney disease- upskilling kidney health professionals– Pregnancy and Kidney Disease – International Society of Nephrology
Kidney Care UK- Pregnancy and chronic kidney disease– Pregnancy and chronic kidney disease | Kidney Care UK
Polycystic Kidney disease Charity- ADPKD and pregnancy-ADPKD and pregnancy
| Category A Local expertise | Category B Review, advice and guidance from maternal medicine centre | Category C Care led by maternal medicine centre |
|---|---|---|
| Single kidney | Lupus nephritis in remission or on treatment | Active lupus nephritis |
| Non-Lupus glomerulonephritis/ tubulointerstitial nephritis - Not on immunosuppression - Stable CKD stage 1-2 and uPCR <100 or uACR <30 and BP <140/90 | Non-lupus glomerulonephritis/ tubulointerstitial nephritis: -On immunosuppression OR -Pre-pregnancy CKD stage 3 OR -uPCR ≥100 or uACR ≥ 30 OR -BP >140/90 | Pre-pregnancy CKD stages 4 and 5 |
| Kidney stones | Kidney transplant | Combined kidney-pancreas transplant |
| Recurrent UTI (no immunosuppression) | Recurrent UTI on immunosuppression | Dialysis |
| Reflux nephropathy with normal kidney function | Reflux nephropathy with abnormal kidney function | New renal vasculitis in pregnancy and vasculitis on immunosuppresion |
| ADPKD with normal kidney function | ADPKD with abnormal kidney function | Scleroderma renal crisis |
| AKI responding to treatment | AKI not responding to treatment or not resolving post-partum | |
| AKI due to pre-eclampsia resolved post-partum | Previous renal vasculitis in remission, no longer on treatment | |
| Previous urinary tract reconstructive surgery | ||
| Kidney disease requiring biologic treatment | ||
| Progressive kidney disease in pregnancy | ||
| Kidney disease on biologic treatment |
