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This work aims to re-evaluate postpartum kidney risk in women with a history of preeclampsia, focusing on albuminuria levels.

Authors’ Reply: Reassessing Postpartum Kidney Risk after Preeclampsia: Hidden Burden and Missed Opportunities for Detection

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This work aims to re-evaluate postpartum kidney risk in women with a history of preeclampsia, focusing on albuminuria levels.
Reanalyzed data including moderate albuminuria based on urine albumin-creatinine ratio (UACR) thresholds.
Compared incident events of kidney injury in pregnancies with and without preeclampsia.
Calculated weighted hazard ratios for moderate-to-severe albuminuria cases.
Incident events of kidney injury increased to 428 in women with preeclampsia and 3025 without when using UACR >30 mg/g.
The hazard ratio for kidney injury was 2.17, indicating a significantly higher risk in women with preeclampsia compared to those without.
Recognized surveillance bias as a limitation due to low testing rates within the first postpartum year.

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Authors found higher kidney injury rates in postpartum women after preeclampsia, suggesting better screening is needed.

Yo et al. (2026) studied this question.

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