Prior to 20 weeks, consideration of a biopsy shouldn't be different than how we would think about biopsy in a non-pregnant individual. The pregnancy is still pre-viable, and so knowing a diagnosis and treating the disease with the goal of improving the kidney function, and thus the pregnancy, makes ...

I wholeheartedly agree with all the points raised by Dr. @Kattah. An additional challenge during late pregnancy is performing the kidney biopsy, as the biopsy has to be done with the patient sitting or in the lateral decubitus position. Real-time ultrasound guidance has to be used and CT avoided, as...