Patient: Description of condition (onset time, main symptoms, hospital visited, etc.): Patient, 29 years old, now 24 weeks, diagnosed with pregnancy-associated nephrotic syndrome 2 months ago, rechecked yesterday plasma total protein 38, albumin 13g/l, renal function and blood pressure normal, swelling extended to the root of the thigh, no relief after rest, urine protein 2+~3+, occult blood 3+. She has been treated with Chinese herbal medicine, IV Lefanzhi, and oral compound amino acids. 1. is there a better treatment for this condition? 2. is it dangerous to continue the pregnancy? 3. is it possible to continue the observation for a period of time? Wang Zhijian, Department of Obstetrics and Gynecology, Southern Hospital of Southern Medical University: How was your nephrotic syndrome treated? Is it still being treated? You now have severe hypoproteinemia, which if not corrected will likely affect your child’s growth and development and may lead to FGR (fetal growth restriction). You will need an albumin infusion to correct the hypoproteinemia. It is important to get in touch with a nephrologist for proper treatment of nephrotic syndrome. Patient: Hello, Mr. Wang, I am also an obstetrician and gynecologist, but unfortunately I see too few cases like myself in our area. I am not treating with any western medicine for the time being, I just prescribed some Chinese herbal medicine to take again in the Chinese medicine nephrology department. I have consulted many nephrology departments in hospitals and they do not advocate albumin because in my current situation, the infusion of albumin will leak out quickly within one or two days, but it will burden my kidneys even more, so now I can only use important maintenance treatment temporarily. I am now 25 weeks and I am planning to have a cesarean section after 34 weeks (of course it is best if I can hold out until 36 weeks), and I will have some protein infusion before the surgery. Can you give me your other contact information, such as QQ? Because the system only allows you to reply to me twice. Thank you!