The Effect of Preterm Birth on Renal Development and Renal Health Outcome

Author:

Dyson Amanda12,Kent Alison L.3

Affiliation:

1. Centenary Hospital for Women and Children and Department of Neonatology, Canberra Hospital, Woden, Australia

2. Australian National University, Canberra, Australia

3. University of Rochester and Division of Neonatology, Golisano Children’s Hospital at URMC, Rochester, NY

Abstract

Preterm birth is associated with adverse renal health outcomes including hypertension, chronic kidney disease, and an increased rate of progression to end-stage renal failure. This review explores the antenatal, perinatal, and postnatal factors that affect the functional nephron mass of an individual and contribute to long-term kidney outcome. Health-care professionals have opportunities to increase their awareness of the risks to kidney health in this population. Optimizing maternal health around the time of conception and during pregnancy, providing kidney-focused supportive care in the NICU during postnatal nephrogenesis, and avoiding accelerating nephron loss throughout life may all contribute to improved long-term outcomes. There is a need for ongoing research into the long-term kidney outcomes of preterm survivors in mid-to-late adulthood as well as a need for further research into interventions that may improve ex utero nephrogenesis.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Reference106 articles.

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2. Births: final data for 2017;Martin;Natl Vital Stat Rep,2018

3. The epidemiology, etiology, and costs of preterm birth;Frey;Semin Fetal Neonatal Med,2016

4. Preterm birth and risk of chronic kidney disease from childhood into mid-adulthood: national cohort study;Crump;BMJ,2019

5. The clinical importance of nephron mass;Luyckx;J Am Soc Nephrol,2010

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