Pregnancy with iGA nephropathy? Be prepared!
iGA nephropathy, commonly known as Berger’s Disease, is an autoimmune disease. This disease takes place when clusters of antibodies accumulate in the kidneys. It is a dangerous disease that can cause acute kidney damage and inflammation. This disease is very common among pregnant women and often leads to adverse consequences. Why does pregnancy make it complicated? Managing iGA nephropathy is a Herculean task. This is because pregnancy further worsens the condition of this disease. A recent study has revealed that iGA nephropathy shares some common symptoms with other diseases. High blood pressure is one of those symptoms. This makes it incredibly difficult to identify this disease at its early stages. If the patient is pregnant on top of that, it leads to undesirable complications. In most cases, iGA nephropathy in pregnant women is dismissed as a kidney disease. It is only after a renal ultrasonography that iGA nephropathy is detected. It is revealed that in pregnant women, the risk of inflammation, extreme hypertension, and immune imbalance is higher. These risks are further worsened by iGA nephropathy. However, although difficult, patients can recover with antihypertensive and immunosuppressive treatments. The common signs iGA nephropathy shares some common symptoms with other kidney diseases. As noted earlier, this is what makes it difficult to identify in the first place. However, here are some common symptoms that might signal the need to consult with a nephrologist: Bloody urine: Seeing blood in urine is one of the foremost signs of iGA nephropathy. When blood is passed along with urine, one may notice that the colour of urine is similar to that of tea or cola. This symptom might be even more visible after a respiratory infection or a sore throat. Weakness and fatigue: Along with urine issues, one might also experience fatigue and general tiredness. Pregnancy itself is an exhausting experience, and iGA nephropathy just doubles it. This is mainly because the disease slowly affects their kidney function. Pain below the ribs: Prenancy has its own set of discomforts. Pain in certain parts of the body is one of them. iGA nephropathy worsens this pain by a lot. The area just below the ribs is affected the most. It is noteworthy to mention that all of these symptoms are quite similar to that of a Urinary Tract Infection (UTI). Detect the risks iGA nephropathy can pose many risks that are specific for pregnant women. In case of no intervention, it can lead to detrimental consequences. Considering this, some notable factors attached to this condition are: Premature birth: Women pregnant with iGA nephropathy are at high risk of preterm delivery. In fact, their chances are 52% more than women who don’t have kidney diseases. In such cases, although vaginal birth is an option, caesarian birth is ideal as it lessens the chances of risks. Birth complications: Since iGA nephropathy leads to premature birth, it leads to birth complications as well. A significant portion of these complications affect the mother. Therefore, proper treatment is mandatory to ensure maternal health. Chronic Kidney Disease: Pregnant women who are affected with IGA nephropathy are prone to negative pregnancy outcomes. One such outcome is their vulnerability to CKD. The level of proteinuria that is often observed in CKD patients is also observed in women pregnant with iGA nephropathy. Apart from these, other risks include miscarriages and low birth weight infants. How do we manage it? iGA nephropathy management during pregnancy can be a difficult task, but not entirely unachievable. After all, most pregnancies with iGA nephropathy end up being successful. But to ensure this success, proper management is an unavoidable necessity. Some ways through which this condition can be maintained are: Early diagnosis: Probably the best option for any type of kidney disease, early detection is the way to go. Undergoing a renal ultrasonography under the strict observation of a nephrologist can help in the early identification of iGA nephropathy. Following the rules set by the doctor: Once detected, the nephrologist will suggest some medications. For the best possible outcomes, it is crucial to adhere to the routine set by the doctor. Drink water and follow a balanced diet: Proper hydration is the best way to manage kidney diseases. This should be accompanied by a properly planned balanced meal. Fats, sodium-rich foods, and junk foods should be avoided at all costs. Concluding words Do not be discouraged if you are suffering from iGA nephropathy while being pregnant. Although fatal, this condition can be managed with the help of appropriate medications, interventions, and procedures. You can have a normal pregnancy and a healthy baby following that, even if you are affected by the condition.