- Overview
- Speaker(s)
- Contents (15)
This Toolkit aims to provide evidence-based educational materials. This toolkit is designed for nephrologists and health professionals wishing to increase their knowledge, as well as to teach others effectively on these topics. Whether you deliver a lecture to peers, train residents, or educate multidisciplinary teams, these resources are adaptable to various settings and audiences.
By equipping nephrologists with the tools needed to understand, manage, and treat women with CKD who are planning to conceive or become pregnant, we aim to improve maternal and fetal outcomes and advance care on a global scale. By using and sharing this toolkit, we hope to inspire more clinicians to become champions of obstetric nephrology.
The Faculty and Trainers of the ISN Train the Trainer Program for Pregnancy and Kidney Disease, developed this curriculum, 2023-24. The curriculum aligns with modules within the Pregnancy and Kidney Disease Toolkit released in 2025. The curriculum content and modules will be regularly updated and expanded. The content in the modules is for General Nephrologists, Nephrology Trainees, Nurses and Allied health professionals.
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Help shape the next generation of Obstetric Nephrology experts
We are now accepting expressions of interest to join the 2025–2026 trainer cohort for the ISN Train the Trainer Program – Pregnancy and Kidney Disease.
Selected trainers will play a key role in advancing the field and further developing the ISN Pregnancy and Kidney Disease Toolkit.
- Read all requirements to apply
- Submit your application to: Eugeni Brigneti atebrigneti@theisn.org
- Application deadline: June 27
Shilpanjali Jesudason
Australia
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Michelle Hladunewich
Canada
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Dominique Martin
Australia
Dominique is Professor of Health Ethics and Professionalism in the School of Medicine at Deakin University. Her research focuses on ethical issues in organ and tissue donation and transplantation and in nephrology, and on professionalism in healthcare. Dominique currently represents Oceania on the Council of the international Transplantation Society and has served as a consultant to the World Health Organization and the Australian Organ and Tissue Authority. She is also a member of the joint ethics task force of ISN-ASN-ERA, Chair of the Asia Pacific Bioethics Education Network, an Associate Editor of Transplantation, and a founding member of the Doha International Academy for Organ Donation and the Declaration of Istanbul Custodian Group.
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Liz Lightstone
UK
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Kate Bramham
UK
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Alejandra Orozco Guillen
Mexico
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Giorgina Barbara Piccoli
France
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Valerie Luyckx
Switzerland
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Rasha Samir
Egypt
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Ghada Ankawi
Saudi Arabia
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Andrea Oliverio
USA
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Nishanta Tangirala
Australia
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Tamara Glavinovic
Canada
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Divya Bajpai
India
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Kenneth Kapembwa
Zambia
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Bala Waziri,
Nigeria
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Iara Da Silva
Spain
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Priscilla Smith
UK
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Angela Makris
Australia
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Launch at WCN'25
An introduction to the field of obstetric Nephrology, the evolution overtime, and future priorities and directions - by Prof Michelle Hladunewich Open to view video.
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Overview of the ISN train the trainer program for pregnancy and kidney disease and launch of the ISN Toolkit of educational resources for pregnancy and kidney disease by Prof Shilpa Jesudason Open to view video.
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Saudi Arabia - experiences of the ISN train the trainer program for pregnancy and kidney disease, and future directions by A/Prof Ghada Ankawi Open to view video.
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India - experiences of the ISN train the trainer program for pregnancy and kidney disease, and future directions by Prof Divya Bajpai Open to view video.
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Overview
ISN Pregnancy and Kidney Disease Toolkit Overview (January 2025) Open to download resource.
Open to download resource. This curriculum was developed by the Faculty and Trainers of the ISN Train the Trainer Program for Pregnancy and Kidney Disease, 2023-24. The curriculum aligns with modules within the Pregnancy and Kidney Disease Toolkit released in 2025. The curriculum content and modules will be regularly updated and expanded.The content in the modules is for General Nephrologists, Nephrology Trainees, Nurses and Allied health professionals.
You must register to access.
Modules
ISN TTT Pregnancy and CKD Education Principles (December 2024) Open to download resource.
Open to download resource. 1. Essential Skills for Lecturing2. Lecture Preparation 3. How do we improve clarity?4. Interactive Lectures 5. Webinar making tips
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ISN TTT Fertility and Contraception (January 2025) Open to download resource.
Open to download resource. 1. Fertility and Kidney Diseasea.Assessing Fertility in women with CKD – clinical history and basic investigationsb.Sexual dysfunction in women with CKDc.Fertility and cyclophosphamide2. Assisted Reproductive Technologies a.Fertility preservation options in women with CKD b.Assisted reproduction options c.Preimplantation Genetic Testing3. Contraception management in Women with CKDa.Purpose and benefits of contraceptionb.Safe contraceptive options for women with CKDc.Risks associated with hormonal contraceptives in CKD4. Counselling for unplanned pregnancya.Options for safe termination of pregnancy in CKD
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ISN TTT Preconception counselling basics (January 2025) Open to download resource.
Open to download resource. 1. Approach to Preconception Counsellinga.Frameworks for counselling b.Ethical considerations in counselling c.Assessing reproductive goals and undertaking shared decision-making2. Preparing for pregnancya.overview of risk stratification and management principlesb.Explaining risks to patients
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ISN TTT Pregnancy in Dialysis Recipients (January 2025) Open to download resource.
Open to download resource. 1. Epidemiology of pregnancy in dialysis recipients (haemodialysis and peritoneal dialysis)2. Preconception Counselling for patients with advanced CKD and receiving dialysis3. Pregnancy Outcomes in women receiving dialysis4. Managing Dialysis in Pregnancya.Dialysis regimens and adjustments during pregnancy - hemodialysis and peritoneal dialysisb.Residual kidney function and dialysis intensity in pregnancyc.Fluid management in dialysis recipients during pregnancy d.Managing Nutrition, Anemia and Bone / Mineral Metabolism in dialysis recipients during pregnancye.Managing Dialysis Access in pregnancyf.Home dialysis and pregnancy5. Post-partum management6. Ethical issues – dialysis resourcing
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ISN TTT Kidney Transplantation and Pregnancy (December 2024) Open to download resource.
Open to download resource. 1. Kidney allograft Accommodation to pregnancy2. Fertility post-transplantationa.Epidemiology of pregnancy post-kidney transplant – birth rates 3. Risks and outcomes of pregnancy post-transplant4. Preconception Counselling in Transplant Recipientsa.General approaches and conceptsb.Ethical considerations in pregnancy counselling5. Contraception post-kidney transplant6. Risk factors for adverse pregnancy outcomesa.Stratifying risk and preparing for pregnancy7. Pregnancy Outcomes in Kidney Transplant Recipientsa.Maternal and Fetal outcomesb.Graft function and Graft loss during and after pregnancy8. Pregnancy management in Kidney transplant recipientsa.Immunosuppressive Management in Pregnancyb.Evaluating graft dysfunction in pregnancyc.Infections during pregnancy – CMV and UTI
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ISN TTT Pregnancy Related Acute Kidney Injury (PR-AKI) (April 2025) Open to download resource.
Open to download resource. 1. Epidemiology of PR-AKI – global perspective- Definitions and Diagnostic challenges for PR-AKI2. Aetiology of Pregnancy-Related AKI and risk factors3. Maternal and Fetal Outcomes of PR-AKI4. Risk Assessment for PR-AKI – antenatal and peri-partum5. Management of PR-AKI- Supportive management – general approaches- Treatment of specific causes- Indications for dialysis- Indications for therapeutic plasma exchange6. Longer term sequelae after PR-AKI and follow up
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ISN TTT Postpartum Follow-up and Care (May 2025) Open to download resource.
Open to download resource. 1. The post-natal period and early post partum care- Recovery of kidney function, breastfeeding, contraception- Neonatal wellbeing and nephrogenesis2. Short-medium term followup- Blood pressure, diabetes, weight management, psychological, nutrition, medication management- Infant development3. Long-term Follow-up- Cardiovascular and Renal Risks for mothers- Follow-up after PR-AKI- Preterm or complicated birth and long term outcomes for infants- Future pregnancy planning
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ISN TTT Management of Pregnancy Hypertension and Preeclampsia (May 2025) Open to download resource.
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Impact Survey
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