Perinatal morbidity and mortality of children born to mothers with chronic kidney disease.

INTRODUCTION

Chronic kidney disease (CKD) associated with pregnancy increases the risk of maternal and fetal complications.

OBJECTIVE

To determine perinatal morbidity and mortality of children born to mothers with mild and moderate CKD during pregnancy.

METHODS

Retrospective study of medical records of women with mild and moderate CKD during pregnancy cared for at La Raza National Medical Center between 2010 and 2016.

RESULTS

There were 142 patients, 99 (69.72%) with mild CKD and 43 (30.28%) with moderate CKD; 79 neonates (55.63%) reached full term, 28 (19.71%) had growth restriction; 44 (30.98%), low birth weight and 54 (38.02%) were admitted to the neonatal intensive care unit (NICU); and four women (4.04%) had an abortion; in four (2.81%), their children had intrauterine death, and in 10 (7.04%), neonatal death. High blood pressure (odds ratio [OR] = 6.93) and hemoglobin < 11 g/dL (OR = 2.48) were risk factors for prematurity.

CONCLUSION

A relationship was found between anemia and blood pressure levels and risk for prematurity, low Apgar, and NICU admission.