Erythropoietin therapy in a pregnant woman on maintenance hemodialysis.
A 25 year old Saudi female, sixth gravida, para four, on renal replacement therapy with regular dialysis for nearly two years, was diagnosed to be pregnant at 12 weeks, with a single viable fetus. She was managed with increased frequency of dialysis and increased doses of anti-hypertensive drugs. For the control of anemia, which was further worsened by the pregnancy, she was treated with r-HuEPO 125 to 150 u/kg 3 times/week along with iron and vitamin supplements to maintain hemoglobin of 90 gm/L. The pregnancy continued to 36 weeks and she had a spontaneous normal delivery of a male baby without any congenital defects, weighing 1605 grams with Apgar score of four at one minute and nine at five minutes.
Mitwalli
A
A
Department of Nephrology, Security Forces Hospital, Riyadh, Saudi Arabia.
Malik
G H
GH
Fayed
H
H
Al-Mohaya
S
S
Al-Wakeel
J
J
Kechrid
S
S
El Gamal
H
H