Thread by @divyaa24

1/17 Taking forward the theme of #WorldKidneyDay let’s discuss what it means for “#WOMEN to live well with #kidney disease” 💃
🧵ahead is for anyone who cares about 💃!
@womeninnephro #womenempowerment #WomensDay #WomensHistoryMonth
Q-Do kidney diseases affect women differently?

2/17
Women have
⬆️Autoimmune diseases (SLE, RA, Systemic Scleroderma)
In #Women of Color that's 2- 3X commoner, early-onset with⬆️ complications

⬆️UTI due to short urethra
In #Pregnancy ⬆️risk of pyelonephritis and sepsis

karger.com/Article/FullTe…

3/17 Pregnancy poses a high risk of #kidney injury due to various etiologies (see pic) which can progress to CKD in the future.
#Preeclampsia is a definite risk factor for #CKD and #ESKD in mother and also for #cardiovascular disease
pubmed.ncbi.nlm.nih.gov/26342729/

4/17 Women with #CKD have
⬆️risk of maternal complications
🤰Death, PE, HELLP, LSCS, CKD progression, SLE flare

⬆️risk of fetal complications
👶IUGR, Abortion, malformations, preterm, stillbirth, neonatal SLE
pubmed.ncbi.nlm.nih.gov/21266267/

5/17
Q Women have less access to which of the following -
Check the answer here - ncbi.nlm.nih.gov/pmc/articles/P…

6/17
#women face disparity in access to health care. Also, they donate more(~78%) and receive fewer organs (~19%), according to NOTTO report
notto.gov.in/organreport.htm
#KidneyTransplant @ileadwomen

7/17
Women with #CKD face reproductive challenges like:
⚡️Difficulty to conceive
⚡️Abortions
⚡️Fear of fetal malformations
They often feel a sense of #FAILURE associated with #infertility and are not able to openly discuss these issues
cmaj.ca/content/192/12…

8/17
What % of women with #CKD suffer from #sexual dysfunction?
Find the answer here - ajkd.org/article/S0272-…

9/17
Women with #CKD face a myriad of #sexual problems which are not actively pursued due to the #SocialStigma.

Check out this summary by @silvishah in her talk twitter.com/i/events/13040…

kidney.org/atoz/content/s…
Also a nice talk by @gag_aggarwal

10/17
As they are most commonly caregivers for CKD, Women are at⬆️ risk for caregiver burnout
pubmed.ncbi.nlm.nih.gov/1746626/

11/17 Let’s talk about solutions:
Optimize peripartum care.
PREVENTABLE causes of Maternal mortality & AKI are still common -
🩸Hemorrhage,
⚠️unsafe abortions
🦠Sepsis.

🗝️:
👉 Early ANC registration/reg checkup
👉 Timely nephrology referral
kireports.org/article/S2468-…

12/17 Solutions: Optimizing #Peripartum care is the key to ensure the health of subsequent generations.
#Healthy mothers give birth to healthy individuals

13/17 Solutions: Regular screening of high-risk groups [HTN, DM, lupus, other autoimmune diseases, HBV, HCV, HIV, urinary tract abnormalities] for evidence of #CKD and early referral to nephrologists.
This can SAVE LIVES
scielo.br/scielo.php?pid…

14/17 Solutions: Destigmatizing Sexual health in CKD

🤫DO NOT hesitate to openly discuss sexual problems.

They are common and also treatable. ✌️
Every effort should be made to stop the “FAILURE SPEAK”👇

15/17 Solutions: Kidney donation by men should be encouraged. #kidneymyths around donation should be eliminated

16/17 Solutions: Lack of access to healthcare for #Women with #CKD must be addressed at individual, institutional, & administrative policies level.

17/17 Together we all can make the world a better place for #Women with #Chronic kidney disease.
Notable women who have conquered #CKD are - @Queenofdialysis @selenagomez @Sarah_Hyland @LoveTinaTurner

IT IS POSSIBLE!! #womenpower