| Pregnancy during hemodialysis: a single center experience. | |
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MedLine Citation:
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PMID: 20587867 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Successful pregnancy outcome is an uncommon occurrence in women requiring chronic dialysis treatment. We reviewed the course and outcome of 9 pregnancies occurred in women on chronic hemodialysis in our center from 1999-2007; 5 of them ended with delivery of alive newborns, 2 with fetal deaths in-utero, and 2 with abortions. The average age of patients was 34 years. The etiology of the original kidney disease was unknown in 44.4% of the cases, and only 22.2% of the patients maintained diuresis. Dialysis started in 8 cases before the diagnosis of pregnancy. The average gestational age at diagnosis was 14 weeks. We modified the prescription of dialysis in 4 patients by increasing the frequency of the dialysis sessions to 6 per week and in 3 by increasing the duration of each session to 6 hours. Anemia was present in all the cases; 3 patients received erythropoietin and 4 patients required transfusion. The pregnancy was com-plicated in 44% of the cases by a polyhydramnios. The average time at delivery was 33 weeks and it was achieved in 80% of pregnancies through vaginal route. The average weight of newborns was to 2380 g. We conclude that pregnancy in women on hemodialysis is possible. The success of pregnancy may be influenced by the residual diuresis and early diagnosis to improve the quality of dialysis by increasing the dialysis dose. |
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Authors:
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Abdelali Bahadi; Driss El Kabbaj; Khalid Guelzim; Jaouad Kouach; Mohammed Hassani; Omar Maoujoud; Mohammed Aattif; Mouncif Kadiri; Dina Montassir; Yassir Zajjari; Ahmed Alayoud; Mohammed Benyahia; Mostapha Elallam; Zouhir Oualim |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia Volume: 21 ISSN: 1319-2442 ISO Abbreviation: Saudi J Kidney Dis Transpl Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-06-30 Completed Date: 2010-09-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9436968 Medline TA: Saudi J Kidney Dis Transpl Country: Saudi Arabia |
Other Details:
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Languages: eng Pagination: 646-51 Citation Subset: IM |
Affiliation:
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Service of Nephrology, Hemodialysis and Kidney Transplantation, Military Hospital of Instruction, Mohammed V. Rabat, Morocco. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acidosis
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prevention & control Blood Pressure Diuresis / physiology Female Gestational Age Hemoglobins / metabolism Humans Hypocalcemia / prevention & control Live Birth Pregnancy Pregnancy Outcome* Pregnancy Trimester, Second Renal Dialysis / methods* Retrospective Studies |
| Chemical | |
Reg. No./Substance:
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0/Hemoglobins |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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