Article: Successful pregnancy in a chronically hemodialyzed patient with end-stage renal failure

A 36 year-old female with chronic kidney failure due to hypertension and who was being treated with hemodialysis for eight months, was admitted to the hospital on the suspicion of being pregnant. Gynecological examination and ultrasound scan confirmed the pregnancy. Gestation was diagnosed in the 29(th) week after the patient felt fetal movements. Intensification of the dialysis treatment was started immediately after the diagnosis was made.

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References

1.

Rizzoni G, Ehrich J, Broyer M, Brunner F, Brynger H, Fassbinder W . Successful pregnancies in women on renal replacement therapy: report from the EDTA Registry. Nephrol Dial Transplant. 1992; 7(4):279-87. DOI: 10.1093/oxfordjournals.ndt.a092129. View

2.

. Successful pregnancies in women treated by dialysis and kidney transplantation. Report from the Registration Committee of the European Dialysis and Transplant Association. Br J Obstet Gynaecol. 1980; 87(10):839-45. DOI: 10.1111/j.1471-0528.1980.tb04434.x. View

3.

Davison J . Dialysis, transplantation, and pregnancy. Am J Kidney Dis. 1991; 17(2):127-32. DOI: 10.1016/s0272-6386(12)81116-4. View

4.

Hou S . Pregnancy in women on haemodialysis and peritoneal dialysis. Baillieres Clin Obstet Gynaecol. 1994; 8(2):481-500. DOI: 10.1016/s0950-3552(05)80332-3. View

5.

Okundaye I, Abrinko P, Hou S . Registry of pregnancy in dialysis patients. Am J Kidney Dis. 1998; 31(5):766-73. DOI: 10.1016/s0272-6386(98)70044-7. View

6.

Ginsberg J, Kowalchuk G, Hirsh J, Brill-Edwards P, Burrows R . Heparin therapy during pregnancy. Risks to the fetus and mother. Arch Intern Med. 1989; 149(10):2233-6. View

7.

Hou S . Pregnancy in dialysis patients: where do we go from here?. Semin Dial. 2003; 16(5):376-8. DOI: 10.1046/j.1525-139x.2003.16083.x. View

8.

Bagon J, Vernaeve H, de Muylder X, Lafontaine J, Martens J, Van Roost G . Pregnancy and dialysis. Am J Kidney Dis. 1998; 31(5):756-65. DOI: 10.1016/s0272-6386(98)70060-5. View

9.

Holley J, Reddy S . Pregnancy in dialysis patients: a review of outcomes, complications, and management. Semin Dial. 2003; 16(5):384-8. DOI: 10.1046/j.1525-139x.2003.16085.x. View

10.

Jungers P, Chauveau D . Pregnancy in renal disease. Kidney Int. 1997; 52(4):871-85. DOI: 10.1038/ki.1997.408. View

11.

Hou S . Frequency and outcome of pregnancy in women on dialysis. Am J Kidney Dis. 1994; 23(1):60-3. DOI: 10.1016/s0272-6386(12)80813-4. View

12.

Giatras I, Levy D, Malone F, Carlson J, Jungers P . Pregnancy during dialysis: case report and management guidelines. Nephrol Dial Transplant. 1998; 13(12):3266-72. DOI: 10.1093/ndt/13.12.3266. View

13.

Tan L, Kanagalingam D, Tan H, Choong H . Obstetric outcomes in women with end-stage renal failure requiring renal dialysis. Int J Gynaecol Obstet. 2006; 94(1):17-22. DOI: 10.1016/j.ijgo.2006.03.033. View

Successful Pregnancy in a Chronically Hemodialyzed Patient with End-stage Renal Failure