Weekly issue 2026-W37 ·
Obstetric outcomes in pregnancies complicated by polycystic kidney disease
Plain language
Using U.S. hospital data from 2016–2021, pregnancies coded with polycystic kidney disease had more cesarean births and complications such as preeclampsia, gestational diabetes, anemia, urinary infections, acute kidney injury, and preterm birth than pregnancies without PKD. Planned high-risk obstetric and kidney care matters — and coding can mix different cystic kidney types.
Clinical note
HCUP-NIS 2016–2021 retrospective cohort; ICD-10 Q61.x (mixes ADPKD and other cystic phenotypes). Age-adjusted analyses: higher odds of cesarean and maternal complications (preeclampsia, GDM, anemia, GU infections, abruption, PPH, sepsis, stones, AKI, death) and neonatal preterm birth/IUGR/congenital anomalies. Administrative severity staging limited — counsel as high-risk with multidisciplinary follow-up; do not over-infer ADPKD-only estimates.
Question for your next visit
If I am planning a pregnancy, how should my kidney team and maternity team coordinate my care?