PREGNANCY PROBLEMS IN CHRONIC KIDNEY DISEASE
Keywords:
pregnancy, kidney disease, hemodialysisAbstract
While pregnancy among end-stage kidney disease patients is rare, the number of females becoming pregnant has been increasing worldwide during the last decade. Confirmatory data of this trend are found in the ANZDATA registry (Australian and New-Zealand Dialysis and Transplant registry), which showed an increase in pregnancy rates of women under hemodialysis over the years, from 0.67 per 1000 patients per year between 1986 and 1995 to 3.3 per 1000 between 1996 and 2024. PrThe aim of this review is to summarize the latest guidelines and practice points for ensuring the best outcome for both the fetus and the mother.
References
Herwig, K.R.; Merill, J.P. Chronic renal disease
and pregnancy. Am. J. Obstet. Gyn. 1965, 92,
–1121. [Google Scholar] [CrossRef]
Orme, B.M.; Ueland, K. The effect of
hemodialysis on fetal survival and renal function in
pregnancy. Trans. Am. Soc. Artif. Intern. Organs.
, 14, 402–404. [Google Scholar] [PubMed]
Confortini, P.; Galanti, G. Full term pregnancy
and successful delivery in a patient on chronic
hemodialysis. Proc. Eur. Dial. Transpl. Assoc. 1971, 8,
–80. [Google Scholar]
Reddy, S.; Holley, L. Management of the
pregnant chronic dialysis patient. Adv. Chronic. Kidney
Dis. 2007, 14, 146–155. [Google Scholar] [CrossRef]
[PubMed]
Manisco, G.; Poti, M. Pregnancy in end stage
renal disease patients on dialysis: How to achieve a
successful deliver. Clin. Kidney J. 2015, 8, 293–299.
[Google Scholar] [CrossRef] [PubMed] [Green Version]
Shahir, A.K.; Briggs, N. An observational
outcomes study from 1966–2008, examining
pregnancy and neonatal outcomes from dialyzed
women using data from the ANZDATA Registry.
Nephrology (Carlton) 2013, 18, 276–284. [Google
Scholar] [CrossRef]
Jesudason, S.; Grace, B.S.; McDonald, S.P.
Pregnancy Outcomes According to Dialysis
Commencing Before or After Conception in Women
with ESRD. Clin. J. Am. Soc. Nephrol. 2014, 9,
–149. [Google Scholar] [CrossRef] [Green Version]
Wiles, K.; Chappell, L. Clinical practice
guideline on pregnancy and renal disease. BMC
Nephrol. 2019, 20, 401. [Google Scholar] [CrossRef]
[Green Version]
Harel, Z.; McArthur, E. Serum Creatinine
Levels Before, During, and After Pregnancy. JAMA
, 321, 205–207. [Google Scholar] [CrossRef]
[PubMed] [Green Version]
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.