[Pregnancy in women undergoing dialysis in chronic renal insufficiency. Apropos of 3 cases].
There are few cases of chronic renal deficiency associated with pregnancy for the following reasons: lowered fertility, a high level of spontaneous early abortions and unwillingness of doctors to allow such pregnancies to continue. The authors report their personal experience of three cases with different outcomes: one, delivery nearly at term, one premature delivery without complications and one premature delivery with neonatal death. The authors, having studied the literature, point out that there are different problems, on the one hand because od kidney conditions requiring more frequent dialysis and on the other hand the obstetrical conditions and in particular high blood pressure with its risk of premature delivery, and finally of intrauterine growth retardation. Finally, the authors point out how important it is to have effective contraception and, if pregnancy does occur, how important it is for the nephrologist, the obstetrician and the paediatrician to cooperate in the care of the patients.
Gaucherand
P
P
Service de Gynécologie-Obstétrique, Hôpital de la Croix-Rousse, Lyon.
Chalabreysse
J P
JP
Audra
P
P
Clément
H J
HJ
Laurent
G
G
Dargent
D
D
Rudigoz
R C
RC
D000328:Adult; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011256:Pregnancy Outcome; D006435:Renal Dialysis
Grossesse chez les femmes insuffisantes rénales chroniques dialysées. A propos de 3 observations.