Renal Disease in Pregnancy

Chronic Renal Impairment – mild.
Treat as normal

Chronic Renal Impairment – severe
Dialyse on morning
Timing of anticoagulation. Consider plt dysfunction for regional. COnsider difficult airway and aspiration risk for GA
Avoid invasive monitoring (risk of infection) and protect AV fistula
Optimise Hb

Renal transplant
Consider altering surgical incision
Avoid hypotension & hypertension
Optimise Hb
Avoid nephrotoxins

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