Embarazos exitosos en hemodiálisis crónica: experiencia de un único centro / Pregnancy during dialysis: Experience in six patients
Rev. méd. Chile
; 141(8): 1003-1009, ago. 2013. ilus, tab
Article
in Spanish
| LILACS
| ID: lil-698698
Responsible library:
CL1.1
ABSTRACT
Background:
The frequency of pregnancies during dialysis is increasing. This condition requires changes in the dialysis schedule and nutritional approach.Aim:
To report the experience in six patients with terminal kidney disease who became pregnant. Material andMethods:
Retrospective review of medical records of women with terminal kidney disease in dialysis who became pregnant in a period of 27 years.Results:
We recorded six successful pregnancies among women in hemodialysis treatment aged 32 ± 4 years. The mean dialysis-time per week was 19.5 ± 2.7 hours and Kt/V was 1.55 ± 0.17. The mean systolic blood pressure was 130 ± 13.3 mmHg. The mean packed cell volume of the group increased from 22.7% during pre-gestational stage to 30.2% during third trimester of pregnancy. All patients received an intensive treatment for anemia. The most common symptom of pregnancy was hyperemesis. The mean gestational age (GA) at diagnosis was 13.4 ± 4.7 weeks. All patients had preterm deliveries at a GA of 33 ± 1.7 weeks, and 66% of offspring were appropriate for gestational age.Conclusions:
A multidisciplinary approach allows high rate of successful pregnancies during hemodialysis.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Pregnancy Complications
/
Pregnancy Outcome
/
Renal Dialysis
/
Kidney Failure, Chronic
Type of study:
Etiology study
/
Observational study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2013
Document type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Clínica Dávila/CL