There were some investigations showing that for most of the patients, pregnancy is not a tough issue unless they have uncontrollable high blood pressure and low GFR than 70ml/min.
However, we still think that only when patients meet the following conditions can they think about pregnancy.
First, those who had stopped medication for more than three years after treatment and there isn’t relapse during the three years can consider about pregnancy. However, if there is any sign implying relapse of the disease, they would better stop pregnancy immediately. And those with over 7 months pregnancy can do C-section.
Second, if IgA happens during the pregnancy, which is due to overload of kidney, patients can take some medicine following doctor’s instructions to relieve the symptoms, which, after delivery can recover naturally. Usually, this mainly refers to swelling due to pregnancy. And those whose clinical symptom is hematuria are at high risk to have high blood pressure. And once they are pregnant, they should check regularly and be very careful with their body.
Third, another condition is that patients’ condition is not stable and the disease is active. Generally speaking, patients are not allowed to have pregnancy, because IgA nephropathy is a kind of immune disease, and steroids are usually applied to stabilize their condition, yet large-dose of steroids can lead to hormone disturbance inside patient’s body, which also can lead to malformation of fetus.
In one word, patient’s condition differs from each other and we can not make conclusion without knowing patient’s specific condition. Beside, patients should also be very cautious with pregnancy too in order to prevent unexpected loss or death.
