Embarazos exitosos en hemodiálisis crónica: experiencia de un único centro / Pregnancy during dialysis: Experience in six patients
Rev. méd. Chile
; 141(8): 1003-1009, ago. 2013. ilus, tab
Article
em Es
| LILACS
| ID: lil-698698
Biblioteca responsável:
CL1.1
ABSTRACT
Background:
The frequency of pregnancies during dialysis is increasing. This condition requires changes in the dialysis schedule and nutritional approach.Aim:
To report the experience in six patients with terminal kidney disease who became pregnant. Material andMethods:
Retrospective review of medical records of women with terminal kidney disease in dialysis who became pregnant in a period of 27 years.Results:
We recorded six successful pregnancies among women in hemodialysis treatment aged 32 ± 4 years. The mean dialysis-time per week was 19.5 ± 2.7 hours and Kt/V was 1.55 ± 0.17. The mean systolic blood pressure was 130 ± 13.3 mmHg. The mean packed cell volume of the group increased from 22.7% during pre-gestational stage to 30.2% during third trimester of pregnancy. All patients received an intensive treatment for anemia. The most common symptom of pregnancy was hyperemesis. The mean gestational age (GA) at diagnosis was 13.4 ± 4.7 weeks. All patients had preterm deliveries at a GA of 33 ± 1.7 weeks, and 66% of offspring were appropriate for gestational age.Conclusions:
A multidisciplinary approach allows high rate of successful pregnancies during hemodialysis.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Complicações na Gravidez
/
Resultado da Gravidez
/
Diálise Renal
/
Falência Renal Crônica
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Chile
País de publicação:
Chile