Insuficiencia renal cronica avanzada y embarazo: presentacion de 3 casos / Chronic renal failure and pregnancy: a report of 3 cases

RESUMEN

Se han publicado numerosos reportes de embarazo en pacientes con isuficiencia renal cronica, con creatinina (Cr) <- 1.5 mg/dl, pero el embarazo es poco comun con niveles de Cr mayores, principalemente >-3 mg/dl. Es probable que los niveles bajos de progesteron o altos de rplactina jueguen un papel clave aqui. Publicamos tres casos con Cr>-6 mg/dl durante el embarazo y postparto. Recomndamos que en toda mujer embarazada o que planee embarazarse se determine la Cr

ABSTRACT

There are many reports on pregnancy In chronic renal failure with creatinine (Cr) levels ≤ 1.5 mg/dl, but pregnancy is uncommon when the levels are above this limit and specially over 3 mg/dl. It is likely that hormonal abnormalities involving low progesterone and high prolactine levels play a key role. We report on three cases with Cr levels equal to or greater than 6 mg/dl during pregnancy or after delivery. We recommend that Cr levels be determined in the initial follow-up of any woman who wishes to become pregnant.