title: Successful pregnancy in a patient with autosomal dominant polycystic kidney disease on long-term hemodialysis.
abstract: Recent advances in dialysis and a multidisciplinary approach to pregnant patients with advanced chronic kidney disease provide a better outcome. A 38-yr-old female with autosomal dominant polycystic kidney disease (ADPKD) became pregnant. She was undergoing hemodialysis (HD) and her kidneys were massively enlarged, posing a risk of intrauterine fetal growth restriction. By means of intensive HD and optimal management of anemia, pregnancy was successfully maintained until vaginal delivery at 34.5 weeks of gestation. We discuss the special considerations involved in managing our patient with regard to the underlying ADPKD and its influence on pregnancy.
authors.affiliation: Department of Internal Medicine, Eulji General Hospital, Seoul, Korea.
authors.forename: Ji Hye
authors.initials: JH
authors.lastname: Jung
authors.affiliation: Department of Internal Medicine, Eulji General Hospital, Seoul, Korea.
authors.forename: Min Jeong
authors.initials: MJ
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, Eulji General Hospital, Seoul, Korea.
authors.forename: Hye Jin
authors.initials: HJ
authors.lastname: Lim
authors.affiliation: Department of Internal Medicine, Eulji General Hospital, Seoul, Korea.
authors.forename: Su-Ah
authors.initials: SA
authors.lastname: Sung
authors.affiliation: Department of Internal Medicine, Eulji General Hospital, Seoul, Korea.
authors.forename: So-Young
authors.initials: SY
authors.lastname: Lee
authors.affiliation: Department of Obstetrics and Gynecology, Eulji General Hospital, Seoul, Korea.
authors.forename: Dae Woon
authors.initials: DW
authors.lastname: Kim
authors.affiliation: Division of Nephrology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Kyu Beck
authors.initials: KB
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Eulji General Hospital, Seoul, Korea.
authors.forename: Young-Hwan
authors.initials: YH
authors.lastname: Hwang
mesh_terms: D000328:Adult; D005260:Female; D005317:Fetal Growth Retardation / Q000209:etiology; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D016891:Polycystic Kidney, Autosomal Dominant / Q000175:diagnosis*; D011247:Pregnancy; D006435:Renal Dialysis; D012307:Risk Factors; D014057:Tomography, X-Ray Computed
keywords: Polycystic Kidney, Autosomal Dominant; Pregnancy; Renal Dialysis