title: Intradialytic hyperalimentation as adjuvant support in pregnant hemodialysis patients: case report and review of the literature.
abstract: Pregnancy in chronic dialysis patients is unusual and associated with many complications. Infants are often born both prematurely and small for gestational age. We report a case of a 36-year-old diabetic hemodialysis patient G4P3 who had prolonged hyperemesis gravidarum, for whom intradialytic parenteral nutrition (IDPN) was started at week 14 and continued throughout her pregnancy. She delivered a 3.5-kg baby girl at the 36th week of gestation by cesarean section. We discuss the use of IDPN as adjunct therapy for pregnant dialysis patients.
authors.affiliation: Department of Medicine, University of California, UCSF campus box 0126, rm M1202, San Francisco, CA 94143, USA.
authors.forename: Delphine
authors.initials: D
authors.lastname: Tuot
authors.forename: Suzanne
authors.initials: S
authors.lastname: Gibson
authors.forename: Aaron B
authors.initials: AB
authors.lastname: Caughey
authors.forename: Lynda A
authors.initials: LA
authors.lastname: Frassetto
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D010288:Parenteral Nutrition; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D006435:Renal Dialysis