| Category A Local Expertise | Category B Consider discussion with Maternal Medicine Centre (MMC) | Category C Care led by Maternal Medicine Centre |
|---|---|---|
| Non-lupus glomerulonephritis/tubulointerstitial nephritis: • No immunosuppression AND •Stable pre-pregnancy CKD stage 1-2 AND uPCR <100 or uACR <30 AND • BP <140/90 mmHg | Non-lupus glomerulonephritis/tubulointerstitial nephritis: • Non-biologic immunosuppression OR • Pre-pregnancy CKD stage 3 OR • UPCR ≥100 or UACR ≥ 30 OR • BP >140/90 mmHg | Pre-pregnancy CKD stages 4 and 5 |
| Kidney stones | Previous urinary tract reconstructive surgery | Kidney transplant |
| Recurrent UTI (no immunosuppression) | Recurrent UTI on immunosuppression | Combined kidney-pancreas transplant |
| Reflux nephropathy with normal kidney function | Reflux nephropathy with abnormal kidney function | Dialysis |
| Autosomal dominant polycystic kidney disease with normal kidney function. | Autosomal dominant polycystic kidney disease with abnormal kidney function | Renal vasculitis in pregnancy (previous or current) |
| AKI responding to treatment | AKI not responding to treatment or not resolving post-partum | Scleroderma renal crisis |
| AKI due to pre-eclampsia resolved post- partum | Diabetic nephropathy: stable, CKD stage <3 | Kidney disease requiring biologic treatment |
| Single kidney | Progressive kidney disease | |
| Lupus nephritis: active / in remission / on treatment |
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| Diabetic nephropathy: CKD4/5 OR rapid trajectory |
