The paper gives current ideas on the management of pregnant women with chronic glomerulonephritis from a multidisciplinary approach. It is emphasized that the level of proteinuria, the degree of renal dysfunction, and controllability of blood artery before pregnancy are considered to be the main predictors of pregnancy outcomes. A woman’s functional changes during physiological pregnancy are briefly set forth. Emphasis is laid on difficulties in the differential diagnosis of gestational hypertension complications and chronic kidney disease-associated hypertension. Risks for pregnancy-associated complications for a mother with chronic kidney disease and her fetus are considered. The possibilities of patients with chronic glomerulonephritis to carry pregnancy and indications for its termination are established. The development of an exacerbation of the disease with nephrotic syndrome in pregnant women requires the application of a differential approach — kidney biopsy, immunosuppressive therapy. The principles in drug therapy for chronic glomerulonephritis and in the management of pregnant women receiving renal replacement therapy and those with a renal transplant are indicated. The authors declare no conflicts of interest.