A case report of spontaneous conception with successful pregnancy outcome in a patient with end-stage chronic renal failure

Abstract

Renal failure is known to be associated with impaired fertility and high pregnancy complications. Nevertheless, regular dialysis can restore conception and improve pregnancy outcome. The authors hereby report on a case of spontaneous conception in a young woman with end-stagerenal failure being dialyzed. The pregnancy was marked by premature rupture of membranes and acute fetal distress at 35 weeks gestation. A female baby of weight 1970 g was delivered by cesarean section. Postpartum period was uneventful for both the mother and her baby. This case report reminds us that, while waiting for kidney transplantation, intensified hemodialysis improves spontaneous conception and pregnancy outcome among women with end-stage renal failure. The authors also discuss in this case presentation the various pregnancy complications that can be observed in women with end-stage renal disease.

Case report: 11 years on hemodialysis with a 4-year-old baby girl: A success story

“…In Cameroon, the actual incidence of conception during ESKD is unknown but a cumulative incidence of conception among ESKD patients of childbearing age on MHD of 7.14% in 11 years was reported ( 2 ). In the early reports in Cameroon, conception occurred within the first year of hemodialysis ( 2 , 6 ). This case report, however occurred after 7 years on MHD.…”

“…In Cameroon, Ashuntantang et al reported in 2014 a conception rate of 7.14% over 11 years in a series of 84 women of childbearing age undergoing MHD ( 2 ). To date, only two cases of successful pregnancies in women on MHD have been reported in the country ( 2 , 6 ). These two successful cases have been reported in first-category hospitals in patients on hemodialysis for less than 24 months with residual kidney function.…”