Management options Preexisting disease

Standard anaesthetic and analgesic techniques are suitable, given the above considerations. Renal function and blood pressure should be closely monitored during pregnancy. Discussion with the renal physicians and obstetricians is required regarding the timing of dialysis and method of delivery. Any arteriovenous shunt should be noted and steps taken to protect it during labour and/or delivery. Drugs excreted renally should be used with caution, and those known to impair renal blood flow or function (especially NSAIDs) should be avoided.

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