title: Pregnancy in women on chronic dialysis: a review.
abstract: The frequency of pregnancy in women on dialysis is extremely low, but the percentage of successful pregnancies in this context has increased over the years, with some studies placing the survival rate above 70%. These pregnancies are not exempt from both maternal and foetal complications, and so their management requires the joint efforts of nephrologists, gynaecologists, nurses, and nutritionists. Currently, we have been unable to establish consistent systematic treatment from both nephrological and gynaecological specialists in these patients. The main changes that need to be made are: increased time on dialysis, maintaining low levels of pre-dialysis urea, avoiding: maternal hypertension and hypotension, anaemia, urinary tract infections, and fluctuations in electrolytes. Adequate foetal monitoring is also necessary.
authors.affiliation: Centro Los Llanos, FRIAT, Móstoles, Madrid, Spain. karina_furaz@hotmail.com
authors.forename: Karina R
authors.initials: KR
authors.lastname: Furaz-Czerpak
authors.forename: Gema
authors.initials: G
authors.lastname: Fernández-Juárez
authors.forename: M Ángeles
authors.initials: MÁ
authors.lastname: Moreno-de la Higuera
authors.forename: Elena
authors.initials: E
authors.lastname: Corchete-Prats
authors.forename: Adriana
authors.initials: A
authors.lastname: Puente-García
authors.forename: Roberto
authors.initials: R
authors.lastname: Martín-Hernández
mesh_terms: D000740:Anemia / Q000209:etiology / Q000517:prevention & control; D001806:Blood Urea Nitrogen; D019090:Case Management; D036861:Delivery, Obstetric / Q000379:methods; D005260:Female; D005315:Fetal Diseases / Q000209:etiology / Q000517:prevention & control; D005323:Fetal Monitoring; D015312:Hemodialysis Solutions; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000188:drug therapy / Q000209:etiology / Q000517:prevention & control; D006977:Hypertension, Renal / Q000150:complications; D007231:Infant, Newborn; D007676:Kidney Failure, Chronic / Q000628:therapy*; D044342:Malnutrition / Q000209:etiology / Q000517:prevention & control; D008567:Membranes, Artificial; D006831:Polyhydramnios / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000097:blood / Q000517:prevention & control / Q000628:therapy*; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D011295:Prenatal Care; D006435:Renal Dialysis / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D015996:Survival Rate
chemical_list: D015312:Hemodialysis Solutions; D008567:Membranes, Artificial