To provide care for women with underlying renal disease contemplating pregnancy or those already pregnant, the obstetrician must have up-to-date knowledge about pregnancy physiology, antenatal care and technology for fetal surveillance as well as neonatology. Also it is essential to appreciate the need for teamwork in a centre with all the necessary facilities for dealing with 'high risk' patients and to strike a balance between 'what the patient wants to know' and 'what the clinician needs to know'. This chapter focuses on chronic renal disease, women on dialysis and kidney allograft recipients, aiming to provide the busy clinician with 'at a glance information' for counselling and the 'clinical watchpoints' necessary for timely decision-making.
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Once your pregnancy is over and done with, your baby is happily in your arms, and youre headed back home from the hospital, youll begin to realize that things have only just begun. Over the next few days, weeks, and months, youre going to increasingly notice that your entire life has changed in more ways than you could ever imagine.