Caring for Pregnant Patients With CKD---An Ethical Discussion of 5 Cases.

ABSTRACT:

Introduction

Pregnancy planning in patients with chronic kidney disease can result in ethical conflicts due to the potential for adverse outcomes. Traditionally, many nephrologists have advised their patients to avoid pregnancy altogether; however, this approach is paternalistic and not patient-centered. An ethical framework could guide joint decision-making between physicians and their patients, but this does not currently exist.

Methods

We performed a literature search to identify the ethical considerations associated with this patient population. We searched for articles published between 1975 and 2019 using the terms "ethics" and "high risk pregnancy," along with 29 chronic disease-specific MeSH terms. Subsequently, we performed a critical evaluation using established et

SUBMITTER: Hendren E 

PROVIDER: S-EPMC8116767 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature