A 33-year-old primigravida on thrice weekly hemodialysis while awaiting renal transplantation is referred by her nephrologist to your high-risk obstetric unit. Given irregular menstrual cycles, she did a home urine pregnancy test after three months of amenorrhea. Yesterday, she was pleasantly surprised with dating sonography confirming a single viable intrauterine fetus at 11+1 weeks’ gestation. The request for consultation ensures that her nephrologist, nutritionist, and other allied members in dialysis care will follow her pregnancy with you.

A 28-year-old nulligravida is referred by her primary care provider to your high-risk obstetrics clinic for preconception counseling for known systemic lupus erythematosus (SLE).

A 33-year-old primigravida at eight weeks’ gestation by dating sonography is referred by her primary care provider to your high-risk obstetrics unit for chronic kidney disease. She takes perindopril 8 mg daily. The patient does not have any obstetric complaints.

A 38-year-old primigravida is a recipient of a renal transplant. She is referred by her primary care provider for consultation and prenatal care of a spontaneous pregnancy at 10 weeks’ gestation by dating sonogram. She takes prenatal vitamins and has no obstetric complaints.

A 29-year-old primigravida is a recipient of a liver transplant. She is referred by her primary care provider to your high-risk obstetrics clinic for consultation and prenatal care of a spontaneous intrauterine singleton pregnancy at 12+0 weeks’ gestation by dating sonogram. The patient takes prenatal vitamins and has no obstetric complaints.