The patient experience of kidney disease and pregnancy

Shilpanjali Jesudason; Allison Tong

doi:10.1016/j.bpobgyn.2018.12.003

The patient experience of kidney disease and pregnancy

Shilpanjali Jesudason
, Allison Tong

Research output: Contribution to journal › Review article › peer-review

32 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	77-88
Number of pages	12
Journal	Best Practice and Research: Clinical Obstetrics and Gynaecology
Volume	57
DOIs	https://doi.org/10.1016/j.bpobgyn.2018.12.003
Publication status	Published or Issued - May 2019
Externally published	Yes

Keywords

High risk
Kidney disease
Maternal health
Patient experience
Pregnancy
Shared decision-making

ASJC Scopus subject areas

Obstetrics and Gynaecology

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10.1016/j.bpobgyn.2018.12.003

Cite this

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title = "The patient experience of kidney disease and pregnancy",

abstract = "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.",

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AU - Tong, Allison

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AB - 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.

KW - High risk

KW - Kidney disease

KW - Maternal health

KW - Patient experience

KW - Pregnancy

KW - Shared decision-making

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DO - 10.1016/j.bpobgyn.2018.12.003

M3 - Review article

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SN - 1521-6934

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JO - Best Practice and Research: Clinical Obstetrics and Gynaecology

JF - Best Practice and Research: Clinical Obstetrics and Gynaecology

ER -

The patient experience of kidney disease and pregnancy

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

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