Inclusion Criteria:

• Patients will be recruited at the UMMC site.
• Pregnant women, 18 years or older, with high risk pregnancy as determined by their attending University of Mississippi Medical Center (UMMC) Physician who fall into one of the followoing catagories:
  • Pre-existing glomerulonephritis in the setting of pregnancy, in particular with the following high-risk:
    • On immunosuppression;
    • Proteinuria greater than 1 g daily;
    • eGFR < 45 ml/min/BSA.
• Pre-existing resistant hypertension in the setting of pregnancy.
• End-stage kidney disease patients, including women on dialysis or with kidney transplants.
• Acute kidney injury in pregnancy or in post-partum period.
• Pre-conception counseling for any high-risk patients with kidney disease and/or hypertension.

Exclusion Criteria:

• Patients younger than age 18.
• Patients that do not wish to engage in telemedicine consult services (in which case the possibility of asynchronous consultation will remain).
• No exclusion based on diagnoses, insurance or citizenship.
• As long as an interpreter is present, there will be no limitations on language. 

Eligibility last updated 2/11/22. Questions regarding updates should be directed to the study team contact.