What is your approach to the use of erythropoiesis-stimulating agents in pregnant patients with anemia and advanced chronic kidney disease?

Anemia in pregnancy with advanced CKD is multifactorial - partly dilutional due to increased intravascular volume, partly due to low erythropoietin levels from CKD, and potentially iron deficiency, depending on dietary intake. Hg levels < 7 g are associated with increased maternal and fetal morbidit...