Relationship of lupus nephritis and pregnancy: A narrative review

Table 2 Lupus nephritis in pregnancy: Evaluation and monitoring

Before pregnancy	Every 6-8 weeks (adjustable)1
Complete metabolic panel	Complete metabolic panel
Prothrombin time/partial thromboplastin time
24-h urinary protein and creatinine clearance2
sPCR	sPCR
Anti-dsDNA	Anti-dsDNA
Anti-Ro/SS-A and anti-La/SS-B antibodies
Lupus anticoagulant3
Anticardiolipin IgG, IgM, IgA3
Anti-β2 glycoprotein I IgG, IgM, IgA3
Complement levels (C3, C4)	Complement levels (C3, C4)
Uric acid	Uric acid
Urine detailed report with microscopy	Urine detailed report with microscopy

¹Adjust monitoring intervals based on the clinical situation.

²For patients with proteinuria, consider repeating the 24-hour urine test each trimester.

³If the test is positive for the first time, repeat it after 12 weeks.

Anti-dsDNA: anti-double stranded DNA; sPCR: Spot protein/creatinine ratio.