Pregnancy in peritoneal dialysis: a case report and review of adequacy and outcomes.
A case of pregnancy in a 27-year-old woman on peritoneal dialysis is presented. The case report is a detailed description of her course including changes in her peritoneal dialysis regimen and the use of continuous cycling to maximize dialysis adequacy while addressing the patient's recurrent abdominal pain and fullness. Also described is the management of complications including hypertension, gestational diabetes, and premature rupture of membranes. The discussion reviews the diagnosis of pregnancy, factors that may relate to outcome, and a detailed comparison of pregnancy outcomes in patients on dialysis to the general population.
Smith
William T
WT
Division of Nephrology, Lenox Hill Hospital, 100 East 77th Street, New York, NY 10021, USA.
Darbari
Shabnam
S
Kwan
Mindy
M
O Reilly-Green
Christopher
C
Devita
Maria V
MV
D000328:Adult; D005260:Female; D005311:Fetal Hypoxia / Q000175:diagnosis; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D010530:Peritoneal Dialysis; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D016216:Ultrasonography, Prenatal