Management of a pregnant woman dependent on haemodialysis.
This is a case study of a woman who became pregnant whilst receiving haemodialysis in a London teaching hospital. She courageously disregarded the doctors' advise to abort the fetus. The doctors advised her to wait until she had a kidney transplant to become pregnant again, rather than increase maternal and fetal risk on dialysis. She was due to have a live-related transplant from her father in the spring. The case study describes a practical account in detailed measure to equip nurses with the knowledge to provide specialised care to high-risk dialysis expecting mothers. The main problems in this case study were trying to manage the mother's dialysis regime, control her anaemia, ensure good nutritional levels and gain accurate daily weights.
Walsh
Anna-Marie
AM
Churchill Hospital, Oxford. annamarie60@hotmail.com
D000032:Abortion, Therapeutic; D000328:Adult; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000378:metabolism / Q000628:therapy*; D016030:Kidney Transplantation; D011247:Pregnancy; D011248:Pregnancy Complications / Q000378:metabolism / Q000628:therapy*; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D006435:Renal Dialysis / Q000191:economics / Q000379:methods* / Q000451:nursing