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

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          Abstract

          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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          Pregnancy in renal disease.

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            Pregnancy during dialysis: case report and management guidelines.

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              Pregnancy in dialysis patients: a review of outcomes, complications, and management.

              Although uncommon, pregnancy occurs in women on chronic dialysis. In 1980 the incidence of pregnancy in women on dialysis was 0.9%. Studies from 1992 to 2003 indicate that pregnancy occurred in 1-7% of women on chronic dialysis. Half of the infants born to women on chronic dialysis survive. Of importance is that "intensive dialysis" of 16-24 hr/week is associated with improved infant survival. In this article, the incidence, duration, fetal and maternal complications, and outcomes of pregnancy in women on chronic dialysis are reviewed. The management of anemia, hypertension, electrolytes, bone minerals, and acid-base parameters in the pregnant dialysis patient is also summarized. Recommendations regarding the dialysis prescription for the pregnant woman on hemodialysis (HD) or peritoneal dialysis (PD) are also made. The complex and precarious condition of the pregnant woman on dialysis requires close collaboration between the patient, nephrologist, dialysis staff, obstetrician, and neonatologist to maximize the chance of a successful pregnancy.
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                Author and article information

                Journal
                Indian J Nephrol
                IJN
                Indian Journal of Nephrology
                Medknow Publications (India )
                0971-4065
                1998-3662
                January 2009
                : 19
                : 1
                : 27-29
                Affiliations
                Nephrology Department of Medical University, Jaczewskiego Street 8, 20-950 Lublin, Poland
                Author notes
                Address for correspondence: Dr. Teresa Malecka-Massalska, Nephrology Department of Medical University, Jaczewskiego Street 8, 20-950 Lublin, Poland. E-mail: tmalecka@ 123456gmail.com
                Article
                IJN-19-27
                10.4103/0971-4065.50678
                2845191
                20352009
                a193287f-ae63-4160-85ed-8f9e0cab2161
                © Indian Journal of Nephrology

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Case Report

                Nephrology
                pregnancy,end-stage renal failure,hypertension,hemodialysis
                Nephrology
                pregnancy, end-stage renal failure, hypertension, hemodialysis

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