title: A successful pregnancy and parturition in a patient with anuria undergoing maintenance hemodialysis for 6 years: a case report of a 3-year-follow-up.
abstract: BACKGROUND
  Pregnancies in hemodialysis patients are uncommon and difficult to study. Although the chance of a successful pregnancy and parturition in hemodialysis women has increased over the years, it still remains extremely low with a high maternal and fetal mortality and morbidity rate.
  
  
  METHODS
  We reported a case of successful pregnancy and parturition in a 22-year-old Chinese female in uremic stage of chronic renal failure and undergoing maintenance hemodialysis (three sessions a week) for 6 years. At the 22nd gestational week, she was diagnosed as pregnant by ultrasound, and started an enhanced hemodialysis routine (Five sessions a week). At the 32nd gestational week, she got hospitalized and received hemodialysis more frequently (seven sessions a week). Based on the initial diagnoses, including uremic stage of chronic renal failure, stage-3 hypertension, single pregnancy of 32nd gestational week, single umbilical artery and polyhydramnios, a drug therapy consisting of compound amino acid, fructosediphosphate sodium, 10% L-carnitine, erythropoietin, polyferose, amlodipine, isosorbidedinitrate, low-molecular weight-heparin, multivitamins and folic acid was given, and daily examination of the mother and fetus was performed. Under the joint efforts of various departments, the patient underwent caesarean section at the 34th gestational week due to progressive uterine contraction and gave birth to a female, well-being baby weighing 1470 g. It has been more than 3 years since the parturition. The mother has returned to the previous hemodialysis routine, and the child has been growing up healthily.
  
  
  CONCLUSIONS
  Although pregnancy in hemodialysis patients is rare, with a high rate of risks. Patients could still gain a good outcome, if we intensify hemodialysis and enhance the collaboration between the patient, nephrologists, obstetricians, neonatologist, nutritionists, and other departments.
authors.affiliation: Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. panximiayu@163.com.|Department of Clinical Medicine, International School, Ji-nan University, Guangzhou, China. panximiayu@163.com.
authors.forename: Panxi
authors.initials: P
authors.lastname: Yu
authors.affiliation: Department of Clinical Medicine, International School, Ji-nan University, Guangzhou, China. 424259600@qq.com.|Department of Respiratory Medicine, Peking University Third Hospital, Beijing, China. 424259600@qq.com.
authors.forename: Wenqi
authors.initials: W
authors.lastname: Diao
authors.affiliation: Department of Pathology, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China. 272977015@qq.com.
authors.forename: Qionglan
authors.initials: Q
authors.lastname: Tang
authors.affiliation: Department of Obstetrics and Gynecology, the First Affiliated Hospital of Ji-nan University, Guangzhou, China. xuefengjiang@126.com.
authors.forename: Xuefeng
authors.initials: X
authors.lastname: Jiang
mesh_terms: D001002:Anuria / Q000150:complications / Q000628:therapy*; D002675:Child, Preschool; D002681:China; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D050498:Live Birth; D036801:Parturition; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology / Q000628:therapy*; D006435:Renal Dialysis / Q000009:adverse effects / Q000379:methods*; D055815:Young Adult