title: Pregnancy during hemodialysis: a single center experience.
abstract: Successful pregnancy outcome is an uncommon occurrence in women requiring chronic dialysis treatment. We reviewed the course and outcome of 9 pregnancies occurred in women on chronic hemodialysis in our center from 1999-2007; 5 of them ended with delivery of alive newborns, 2 with fetal deaths in-utero, and 2 with abortions. The average age of patients was 34 years. The etiology of the original kidney disease was unknown in 44.4% of the cases, and only 22.2% of the patients maintained diuresis. Dialysis started in 8 cases before the diagnosis of pregnancy. The average gestational age at diagnosis was 14 weeks. We modified the prescription of dialysis in 4 patients by increasing the frequency of the dialysis sessions to 6 per week and in 3 by increasing the duration of each session to 6 hours. Anemia was present in all the cases; 3 patients received erythropoietin and 4 patients required transfusion. The pregnancy was com-plicated in 44% of the cases by a polyhydramnios. The average time at delivery was 33 weeks and it was achieved in 80% of pregnancies through vaginal route. The average weight of newborns was to 2380 g. We conclude that pregnancy in women on hemodialysis is possible. The success of pregnancy may be influenced by the residual diuresis and early diagnosis to improve the quality of dialysis by increasing the dialysis dose.
authors.affiliation: Service of Nephrology, Hemodialysis and Kidney Transplantation, Military Hospital of Instruction, Mohammed V. Rabat, Morocco.
authors.forename: Abdelali
authors.initials: A
authors.lastname: Bahadi
authors.forename: Driss
authors.initials: D
authors.lastname: El Kabbaj
authors.forename: Khalid
authors.initials: K
authors.lastname: Guelzim
authors.forename: Jaouad
authors.initials: J
authors.lastname: Kouach
authors.forename: Mohammed
authors.initials: M
authors.lastname: Hassani
authors.forename: Omar
authors.initials: O
authors.lastname: Maoujoud
authors.forename: Mohammed
authors.initials: M
authors.lastname: Aattif
authors.forename: Mouncif
authors.initials: M
authors.lastname: Kadiri
authors.forename: Dina
authors.initials: D
authors.lastname: Montassir
authors.forename: Yassir
authors.initials: Y
authors.lastname: Zajjari
authors.forename: Ahmed
authors.initials: A
authors.lastname: Alayoud
authors.forename: Mohammed
authors.initials: M
authors.lastname: Benyahia
authors.forename: Mostapha
authors.initials: M
authors.lastname: Elallam
authors.forename: Zouhir
authors.initials: Z
authors.lastname: Oualim
mesh_terms: D000138:Acidosis / Q000517:prevention & control; D001794:Blood Pressure; D004231:Diuresis / Q000502:physiology; D005260:Female; D005865:Gestational Age; D006454:Hemoglobins / Q000378:metabolism; D006801:Humans; D006996:Hypocalcemia / Q000517:prevention & control; D050498:Live Birth; D011247:Pregnancy; D011256:Pregnancy Outcome; D011262:Pregnancy Trimester, Second; D006435:Renal Dialysis / Q000379:methods*; D012189:Retrospective Studies
chemical_list: D006454:Hemoglobins