Can I get pregnant if I have nephritis?

Chronic nephritis, also known as glomerulonephritis, usually causes symptoms such as proteinuria, edema and high blood pressure. The course of nephritis is relatively long. For women who have not given birth yet, can they get pregnant if they suffer from nephritis? When a woman becomes pregnant, the burden on her kidneys will increase. If it is not properly controlled, it will cause greater damage to the body. Therefore, women with nephritis are not suitable for childbearing.

1: What will happen if pregnancy is improper?

1: Due to the increased burden on the kidneys during pregnancy, pregnancy-induced hypertension is likely to occur, which will aggravate kidney damage. However, if the symptoms of nephritis are mild, with only a small amount of urine protein, no hypertension or diabetes, this will not easily induce worsening of kidney disease.

2: Depending on the severity of nephritis, it will have different effects on the development of the fetus. Chronic nephritis accompanied by high blood pressure is often accompanied by placental dysfunction and insufficient blood supply to the fetus, which may lead to intrauterine growth retardation, stillbirth, and high perinatal mortality. For pregnant women with severe nephritis, the fetal mortality rate can reach 50%.

2. Therefore, women’s pregnancy should be determined according to their condition

1: Patients with chronic nephritis, hypertension, and diabetes are not suitable for pregnancy. The probability of patients developing severe pregnancy-induced hypertension syndrome after pregnancy is as high as 75%. Once it occurs, it will cause a rapid rise in blood pressure, dizziness, blurred vision, nausea and vomiting, and a series of discomforts, which will have a great impact on the fetus and pregnant women. At this time, the doctor will advise the patient to terminate the pregnancy to reduce the burden on the kidneys. If the pregnancy continues, it is easy to cause premature birth and stillbirth.

2: In patients with chronic inflammation, if the renal function has not returned to normal, the amount of urine protein will increase to “++” → “+++”, and the urea nitrogen or creatinine in the blood will increase. Renal failure should be prevented. Such patients should not become pregnant. If it is an early pregnancy, an abortion should be performed.

3: Women with chronic nephritis can become pregnant if their renal function is basically normal, the urine protein is small (trace or "+"), and they have been stable for a period of time. But you should pay attention to rest, increase nutrition, eat more protein-containing foods, supplement sufficient vitamins, and eat a light diet not too salty. Pay attention to increasing your body's resistance, avoid various infections, and check your kidney function regularly. Every prenatal check-up should monitor edema, weight gain, measure blood pressure, and check urine protein. For those who only have a small amount of proteinuria but no increased blood pressure, the pregnancy outcome is generally good if they strengthen their health care and receive careful monitoring during pregnancy.

To sum up: If a female nephritis patient has only a small amount of urine protein and her condition has been stable for a period of time, and she does not have hypertension and diabetes, she can become pregnant, but physical examinations after pregnancy should be taken seriously.