Successful pregnancy in a diabetic patient treated with continuous ambulatory peritoneal dialysis.
In this article we describe the successful management of pregnancy and delivery in a 26-yr-old patient with advanced diabetic nephropathy and chronic renal failure. Targets for control of blood urea and hemoglobin were achieved with the aid of continuous ambulatory peritoneal dialysis (CAPD). Peritoneal dialysis did not interfere with normal recovery from cesarean section. With CAPD, successful pregnancy is now possible in this group of patients, among whom fetal loss would otherwise be high.
D000328:Adult; D002585:Cesarean Section; D003920:Diabetes Mellitus / Q000503:physiopathology; D003928:Diabetic Nephropathies / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D005323:Fetal Monitoring; D005333:Fetus / Q000502:physiology; D006801:Humans; D007676:Kidney Failure, Chronic / Q000503:physiopathology / Q000628:therapy*; D010530:Peritoneal Dialysis; D010531:Peritoneal Dialysis, Continuous Ambulatory; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000503:physiopathology*