Preconceptional counseling for women with chronic kidney disease

Chronic kidney disease (CKD) reportedly affects 3% of women between the ages of 20 and 39 years1. In view of the increasing age at which many women are now contemplating their first pregnancy, as well as the predicted rise in the number of individuals with CKD due to type 2 diabetes2, it is likely that CKD will become a more common problem in the offices and clinics of those who provide antenatal care. Under these circumstances, it is essential that health care professionals be aware of the potential complications associated with this condition. Preconceptional counseling for women with CKD allows adequate preparation for pregnancy, both physically and psychologically, as many women may be unaware that their condition has any implications for fetal or maternal health.