Pregnancy in Chronic Dialysis Patients

Hou, Susan; Grossman, Susan D.

doi:10.1111/j.1525-139x.1990.tb00053.x

Cited by 20 publications

(9 citation statements)

References 42 publications

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“…Although there is a wide variation, most recent data report 79% 5 to 81% 3 successful pregnant deliveries among dialysis‐dependent women. The main factors for this success seem to be the increased duration and frequency of HD sessions, the ample supplementation of erythropoietin, iron, follate, and vitamins and the adequate maternal nutrition in combination with the effective pharmaceutical support and close obstetric monitoring, as well as the advances of neonatal care 3,6 . It seems that women on nocturnal HD present the best outcome 7,8 .…”

Section: Discussionmentioning

confidence: 99%

Pregnancy in dialysis-dependent women-the importance of frequent dialysis and collaborative care: A case report

Pipili

Grapsa

Koutsobasili³

et al. 2011

Hemodialysis International

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An increasing number of successful pregnancies have been reported among women on chronic hemodialysis. Even with reduced fertility and high risk of complications, women of childbearing age receiving hemodialysis, should not be discouraged from pregnancy. Practitioners should be familiar with the effects of renal disease on pregnancy, consult patients about the possibility of pregnancy and its hazards and provide, if necessary, prompt surveillance and treatment. This paper describes the case of an unplanned but successful pregnancy of a woman receiving hemodialysis, emphasizing pregnancy management, mother's response evaluation, and infant growth.

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Section: Discussionmentioning

confidence: 99%

Pregnancy in dialysis-dependent women-the importance of frequent dialysis and collaborative care: A case report

Pipili

Grapsa

Koutsobasili³

et al. 2011

Hemodialysis International

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“…b-hCG is not initially reliable because it may be abnormally elevated in women on dialysis due to decreased renal clearance [23]. Therefore, an elevated b-hCG may reflect a nonpregnant uremic patient, a pregnancy of 3-5 weeks duration or embryonic demise [16,[26][27]. Importantly, doubling of b-hCG within 48 h is indicative of a viable pregnancy and excludes other etiologies.…”

Section: Diagnosismentioning

confidence: 91%

“…BUN less than 50 mg/dl (17.85 mmol/l urea) is considered to be an indicator of adequate dialysis in pregnancy [27]. However, as in other dialysis patients, urea levels are not reliable predictors of dialysis efficiency.…”

Section: Effect Of Renal Function and Dialysis On Outcomesmentioning

confidence: 99%

“…Intensive PD is especially important in the third trimester when the fetal urea production is 540 mg/day [27], most of it being generated by high maternal urea concentrates. Aggressive PD will minimize urea diuresis by fetus [59] and thus minimize the frequency of polyhydramnios, an important cause of premature labor [28].…”

Section: Effect Of Renal Function and Dialysis On Outcomesmentioning

confidence: 99%

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Pregnancy in Peritoneal Dialysis: A Case Report and Review of Adequacy and Outcomes

et al. 2005

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A case of pregnancy in a 27-year-old woman on peritoneal dialysis is presented. The case report is a detailed description of her course including changes in her peritoneal dialysis regimen and the use of continuous cycling to maximize dialysis adequacy while addressing the patient's recurrent abdominal pain and fullness. Also described is the management of complications including hypertension, gestational diabetes, and premature rupture of membranes. The discussion reviews the diagnosis of pregnancy, factors that may relate to outcome, and a detailed comparison of pregnancy outcomes in patients on dialysis to the general population.

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“…The prognosis for pregnancy hinges on the general medical health of the mother, degree of and type of renal insufficiency, and the expertise of the nephrologist, obstetrician, and neonatologist involved. Pregnancy in dialysis patients was recently reviewed in this publication (43). This review will focus on fetal and maternal outcome in women on maintenance hemodialysis.…”

Section: Pregnancymentioning

confidence: 99%