Pregnancy in end-stage renal disease patients and treatment with peritoneal dialysis: report of two cases.
Pregnancy in end-stage renal disease patients is infrequent and is associated with fetal loss, premature delivery, intrauterine growth restriction, and lack of control of or exacerbation of or onset of hypertension. Even after replacement of renal function, the prognosis for the patient and the fetus is poor. A point of controversy is the renal replacement therapy method. This report is based on two clinical cases of pregnancy in peritoneal dialysis patients that resulted in full-term delivery. Adequate metabolic and blood pressure control was achieved during pregnancy, the only mutual complication being the presence of polyhydramnios. However, both infants were healthy for their gestational age and without neonatal complications. We may conclude that peritoneal dialysis is an acceptable therapeutic option for pregnant patients and their fetuses.
Gómez Vázquez
Jesús Alfredo
JA
Peritoneal Dialysis and Kidney Transplant Section, Department of Nephrology, Hospital Central Militar México, Mexico City, Mexico. nefrologia00@yahoo.com.mx
MartínezCalva
Ignacio Eduardo
IE
Mendíola Fernández
Ricardo
R
Escalera León
Verónica
V
Cardona
Mario
M
Noyola
Hector
H
D000328:Adult; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D010530:Peritoneal Dialysis; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*