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      Dialysis in pregnancy

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      Best Practice & Research Clinical Obstetrics & Gynaecology
      Elsevier BV

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          Abstract

          Although kidney disease impacts on fertility, increasing numbers of pregnancies are reported in women on dialysis. Despite a trend of increasing live birth rates over recent decades, pregnancies on dialysis remain high risk with increased rates of adverse pregnancy outcomes including pregnancy loss, pre-eclampsia, pre-term delivery, low birth weight and higher levels of neonatal care. This article describes the prevalence of dialysis and pregnancy in women of childbearing age, with relevant information regarding the effects of end-stage renal disease on fertility in women. Pregnancy outcomes for women on dialysis are summarised, including their association with dialysis intensity. A guide to pre-pregnancy counselling, and the management of pregnancy on dialysis is provided. Factors that inform the decision to commence dialysis in pregnancy are examined. The advantages and disadvantages of peritoneal dialysis in pregnancy are discussed.

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          Author and article information

          Journal
          Best Practice & Research Clinical Obstetrics & Gynaecology
          Best Practice & Research Clinical Obstetrics & Gynaecology
          Elsevier BV
          15216934
          November 2018
          November 2018
          Article
          10.1016/j.bpobgyn.2018.11.007
          30606688
          43a0b756-c78b-44ca-861e-eac82f66296a
          © 2018

          https://www.elsevier.com/tdm/userlicense/1.0/

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