Prepregnancy counselling and multidisciplinary team management is the key in achieving good pregnancy outcomes. There is emerging evidence about the safety and efficacy of oral hypoglycaemics like metformin in pregnancy.

Key content:• A multidisciplinary team should manage pregnancy in women with chronic renal disease. • The outcome is dependent upon prepregnancy renal function and the presence of hypertension and proteinuria. • Women on dialysis and renal transplant recipients form a special group that needs expert care during pregnancy. Learning objectives:• To understand the basic principles in prepregnancy counselling of women with chronic renal disease. • To be aware of the risks to the pregnancy as well as to long-term renal function. Ethical issues:• The risks of serious complications and adverse effects on long-term health raise complex ethical issues for the health professionals who counsel women with chronic renal disease and look after them during pregnancy.Keywords haemodialysis / immunosuppressants / peritoneal dialysis / pregnancy outcome / proteinuria / renal transplant Please cite this article as: Kapoor N, Makanjuola D, Shehata H. Management of women with chronic renal disease in pregnancy.