Women with renal disease who conceive and continue a pregnancy are at signi
ficant risk for adverse maternal and fetal outcomes. Risk is inversely rela
ted to the degree of renal insufficiency. Pregnancy-induced changes in the
urinary tract can temporarily increase renal function compromise, such as n
ephrosis, but most often results in no net increase in dysfunction. Common
complications of pregnancy-such as hypertension and hypovolemia an be assoc
iated with acute renal injury or aggravation of pre-existing disease.