POP KD. Version 1.0
Research type
Research Study
Full title
Perspectives of Pregnancy Experience in women with Kidney Disease
IRAS ID
219115
Contact name
Kate Bramham
Contact email
Sponsor organisation
King’s College Hospital NHS Foundation Trust
Duration of Study in the UK
0 years, 3 months, 22 days
Research summary
Kidney disease affects 3% of women of childbearing age. Women with chronic kidney disease (CKD) are at higher risk of complications in pregnancy including high blood pressure, pre-eclampsia, worsening kidney function, miscarriage, stillbirth, preterm delivery and small for gestational age infants. Recent studies suggest that even those with CKD stage 1 (normal kidney function but abnormal structure or urinalysis) have a higher rate of adverse pregnancy outcomes compared with healthy controls. Despite this most women with kidney disease have successful pregnancies and healthy babies.
National Institute of Clinical and Health Excellence (NICE) guidelines recommend that women with chronic medical conditions, including CKD, should receive counselling prior to pregnancy in order to optimise health and medication use, plan timing of pregnancy and to inform women about possible maternal and fetal outcomes, which is supported by the recent UK maternal deaths confidential enquiry (MBRRACE 2016). Women with chronic medical conditions are also advised to receive heightened surveillance during antenatal and peripartum care according to NICE Pre-Conception - Advice and Management(2012). Therefore when women with kidney disease are pregnant they receive care from a team of different specialists including kidney doctors (nephrologists), obstetricians and midwives. There are few qualitative assessments of women with CKD’s attitudes of pregnancy. We would therefore like to know more about women’s experience of planning a pregnancy and the care received during and after their pregnancies.
We believe this information will help us improve the experience of pregnancy for women with kidney disease and eventually the findings of this study will inform provision of specialist pre-pregnancy, antenatal and postpartum care for women with CKD, to enable development of a patient focused service.REC name
London - Stanmore Research Ethics Committee
REC reference
17/LO/0759
Date of REC Opinion
31 May 2017
REC opinion
Further Information Favourable Opinion