[Hemodialysis in pregnancy].
Pregnancy brought to term is rare in patients undergoing haemodialysis. Both mother and foetus are exposed to lethal from complications frequently caused by hypertension and anaemia. We are reporting the first case of pregnancy observed in an haemodialysis centre in Antananarivo, Madagascar. In spite of the modest means of the centre (use of acetate, lack of recombinant erythropoietin, limited biological controls) the foetus could be kept by intensification of the dialysis. No complication occurred to the mother when in the literature its frequency is 16%. The baby was premature and low weighted. His mental and physical development was normal. This success is the consequence of heavy management especially for the patient.
Raharivelina
C A
CA
Service de réanimation néphrologique, Hôpital J.R. Andrianavalona, CHU d'Antananarivo, Madagascar. raharivelina@dts.mg
Randriamanantsoa
L Narindra
LN
Vololontiana
D
D
Ralaifonenana
J
J
Rakotomanga
M
M
Rabenantoandro
R
R
D000328:Adult; D005260:Female; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008270:Madagascar; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011256:Pregnancy Outcome; D006435:Renal Dialysis