Kidney Week

Abstract: SA-PO1045

Reproductive Planning in Kidney Disease (REPKID): A Survey of Female Patients with CKD

Session Information

• Women's Health and Kidney Diseases
  October 26, 2024 | Location: Exhibit Hall, Convention Center
  Abstract Time: 10:00 AM - 12:00 PM

Category: Women's Health and Kidney Diseases

• 2200 Women's Health and Kidney Diseases

Authors

• Nobakht, Niloofar, University of California Los Angeles David Geffen School of Medicine, Los Angeles, California, United States

Niloofar Nobakht, MD, FASN

• Lee, Gwendolyn, University of California San Francisco, San Francisco, California, United States

Gwendolyn Lee, MD

• Al Baghdadi, Maha, University of California Los Angeles David Geffen School of Medicine, Los Angeles, California, United States

Maha Al Baghdadi, MD

• Arevalo Iraheta, Yaquelin, University of California Los Angeles David Geffen School of Medicine, Los Angeles, California, United States

Yaquelin Arevalo Iraheta

• Kwan, Lorna, University of California Los Angeles David Geffen School of Medicine, Los Angeles, California, United States

Lorna Kwan, MPH

• Han, Christina S., University of California Los Angeles David Geffen School of Medicine, Los Angeles, California, United States

Christina S. Han, MD

Background

CKD is associated with high rates of maternal, obstetrical & fetal complications in pregnancy. Although preconception counseling (PCC) is recommended by the CDC as primary prevention for pregnancy complications, the frequency of its utilization in CKD is unknown. We hypothesize that PCC in CKD remains suboptimal.

Methods

A cross-sectional survey was distributed to reproductive-aged females at nephrology clinics within a quaternary care health system between 01-05/2024. Data were analyzed using Chi-square (or Fisher’s exact tests). Uni- & multi-variable logistic regressions were performed to explore characteristics associated with inadequate PCC.

Results

Of 119 surveys distributed, 98 (82%) were completed. Subjects included those with history of dialysis (54%), transplant (48%), and long duration of disease (32.7%). No PCC was reported in 26% of respondents. In a multivariable logistic regression (Table 1), lack of PCC was more common in individuals who had no college education or did not report loss of libido. Compared to counseling by non-nephrologists, counseling that included a nephrologist were more likely to include discussions on birth control, future childbearing, medication safety, and fetal and maternal complications. Receipt of PCC improved patient's self-reported knowledge about preconception and pregnancy with CKD. (Figure 1)

Conclusion

Preconception counseling for reproductive-aged female patients remains suboptimal in CKD. The underlying causes of this insufficiency and inequity warrants investigation and intervention.

Effect of preconception counseling on concern and self-reported knowledge

Crude and adjusted odds ratios for no inclusion of preconception counseling in care