Document Detail


Pregnancy during hemodialysis: a single center experience.
MedLine Citation:
PMID:  20587867     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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
Related Documents :
11349167 - Renal biopsy and pregnancy.
7243107 - Fetal transfusion with real-time ultrasound guidance.
823957 - A critical review of intrauterine fetal transfusion.
927767 - Successful management of pregnancy-induced pancytopenia.
19859897 - Giant placental chorioangioma: natural history and pregnancy outcome.
22454457 - High pregnancy rate after microsurgical tubal reanastomosis by temporary loose parallel...
Publication Detail:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  2010-06-30     Completed Date:  2010-09-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9436968     Medline TA:  Saudi J Kidney Dis Transpl     Country:  Saudi Arabia    
Other Details:
Languages:  eng     Pagination:  646-51     Citation Subset:  IM    
Affiliation:
Service of Nephrology, Hemodialysis and Kidney Transplantation, Military Hospital of Instruction, Mohammed V. Rabat, Morocco.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Acidosis / 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:
0/Hemoglobins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Serum zinc concentrations in patients on maintenance hemodialysis and its relationship with anemia, ...
Next Document:  Patterns of Anti-Hypertensive therapy in diabetic patients with and without reduced renal function.