Document Detail


Pregnancy in women on haemodialysis and peritoneal dialysis.
MedLine Citation:
PMID:  7924019     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pregnancy in women with renal insufficiency and end-stage renal disease, while uncommon, is definitely possible, and such women should not assume they are infertile. Contraception should be prescribed for those who do not want to conceive. For the woman who is dialysed during pregnancy, the risks can be minimized by aggressive blood pressure control and prompt diagnosis and treatment of bleeding episodes; however, no degree of vigilance can guarantee that a woman will not suffer any of the severe complications that have been described in pregnant dialysis patients. Intensive dialysis should be undertaken to maintain chemistries that are as nearly normal as possible, and premature labour should be treated with indomethacin. Our current state of knowledge suggests that the success rate of pregnancy in dialysis patients is no better than 52%. It remains to be seen whether CAPD and erythropoietin improve the currently poor outcome. While transplantation offers the best chance of child bearing for women with end-stage renal disease, transplantation is not always possible. Thus we no longer discourage women on dialysis from becoming pregnant as long as they understand that the likelihood of success is small and that serious risks are involved, and as long as they are willing to follow the time-consuming regimen we think it is necessary for their safety. We hope that, in time, increased experience with pregnant dialysis patients will lead to more successful outcomes and that the possibility of parenthood will be added to the improved quality of life in these women.
Authors:
S H Hou
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Baillière's clinical obstetrics and gynaecology     Volume:  8     ISSN:  0950-3552     ISO Abbreviation:  Baillieres Clin Obstet Gynaecol     Publication Date:  1994 Jun 
Date Detail:
Created Date:  1994-11-04     Completed Date:  1994-11-04     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8710782     Medline TA:  Baillieres Clin Obstet Gynaecol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  481-500     Citation Subset:  IM    
Affiliation:
Rush-Presbyterian-St. Luke's Medical Center, Section of Nephrology, Chicago, IL 60612.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Hypertension, Renal / therapy
Kidney Failure, Chronic / physiopathology*,  therapy*
Obstetric Labor, Premature
Peritoneal Dialysis*
Pregnancy
Pregnancy Complications / physiopathology*,  therapy*
Pregnancy Complications, Cardiovascular / therapy
Renal Dialysis*

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


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