Contraception in chronic kidney disease: a best practice position statement by the Kidney and Pregnancy Group of the Italian Society of Nephrology

摘要: Even though fertility is reduced, conception and delivery are possible in all stages of CKD. While successful planned pregnancies increasing, an unwanted pregnancy may have long-lasting deleterious effects, hence the importance birth control, issue often disregarded clinical practice. The evidence summarized this position statement mainly derived from overall population, or other patient categories, lack guidelines specifically addressed to Oestroprogestagents can be used early, non-proteinuric CKD, excluding SLE immunologic disorders, at high risk thromboembolism hypertension. Conversely, progestin only generally safe its main side effect intramestrual spotting. Non-medicated intrauterine devices a good alternative; their use needs carefully evaluated patients pelvic infection, even degree remains controversial. Barrier methods, relatively efficacious when correctly used, few risks, condoms contraceptives that protect against sexually transmitted diseases. Surgical sterilization rarely also because risks surgery involves; it not definitely contraindicated, considered selected cases. Emergency contraception with high-dose progestins contraindicated but should avoided whenever possible, if far preferable abortion. abortion invasive, experience medical CKD still limited, especially late disease. In summary, personalized feasible, offered women childbearing age who do want get pregnant.