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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
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E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Chronic kidney disease (CKD) is a state of progressive loss of kidney function, ultimately resulting in the need for renal replacement therapy.
The 2012 Kidney Disease Improving Global Outcomes (KDIGO) CKD classification recommends specifying the cause of CKD and classifies the condition into six categories based on GFR (G1 – G5 with G3 split into 3a and 3b). In addition, it also includes staging based on three levels of albuminuria (A1,A2 and A3) with each stage of CKD subcategorized according to the urinary albumin creatinine ratio (ACR: mg/g or mg/mmol) in an early morning “spot” urine sample.
In most countries, CKD is more prevalent among women than men. In Asian population, the overall prevalence of CKD was 1.07 times higher in females compared to males. Even though the prevalence is higher in women more than 65 years of age, the prevalence of CKD in women ages between 20-44 years accounts around 4.6% The course and outcome of pregnancy depends upon the stage of CKD.
Objectives:
· To identify the early signs and symptoms of worsening kidney function with pregnancy
· To identify the worsening of pregnancy outcomes with CKD
· Select appropriate treatment options based on individual patient’s gestational age and stage of CKD
Methods:
Pregnant women with prior history of CKD visiting Department of Nephrology and OBG of Manipal Hospital Bangalore were included.
We included 8 pregnant women with CKD in different stages with mean age of 31.875 years, 50% were primigravidae, 12.5% (1 case) of previous ectopic pregnancy, 25.0% (2 cases) of second gravida and 12.5% (1 case) of third gravida.
37.5% (3 cases) had history of preeclampsia and hypothyroidism, 12.5% (1 case) had gestational diabetes mellitus. Mean duration of CKD was 3.5 years, longest duration was 9 years and one case was diagnosed at 5 weeks of pregnancy.
The most common cause for CKD was IgA nephropathy accounting for 50% and other causes were Acute cortical necrosis, membranous nephropathy, left small kidney and bilateral small kidneys (1 case of each).
The value of serum creatinine on the first visit to the hospital was in the range of lowest value of 0.6 mg/dl to highest value of 4.6 mg/dl. In 2 cases, the value of creatinine increased up to 8 mg/dl to 8.4 mg/dl.
Proteinuria at the beginning of pregnancy was ranging between 0.36 gms to 6 gms which got increased to 9.3 gms and 13 gms in 2 cases. In the other six cases there was not much of a difference.
3 cases underwent renal biopsy, one at 10 weeks of gestation, one at 7 weeks, one after two years of previous pregnancy.
3 cases had to undergo termination of pregnancy, 2 cases at 18 weeks, and 1 case at 10 weeks. Reason being nephrotic range proteinuria in 1 case and uremia in other 2 cases. 1 case is continuing pregnancy currently at 30 weeks of gestation without any maternal or fetal complications and maintaining creatinine level at 2.2 mg/dl.
In the cases where pregnancy was continued women got delivered at 26 weeks, 35 weeks, and two women delivered at 36 weeks.
Women with CKD should receive proper pre-conceptional counselling and evaluation. Staging of the CKD may help to take the decision regarding the conception or continuation of the pregnancy considering maternal and neonatal outcome.
