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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 1994  |  Volume : 5  |  Issue : 4  |  Page : 489-492
Erythropoietin therapy in a pregnant woman on maintenance hemodialysis

1 Department of Nephrology, Security Forces Hospital, Riyadh, Saudi Arabia
2 Department of Obstetrics and Gynecology, Security Forces Hospital, Riyadh, Saudi Arabia

Correspondence Address:
Ahmed Mitwalli
Department of Medicine, King Khalid University Hospital, P.O Box 2925, Riyadh 11461
Saudi Arabia
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PMID: 18583777

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A 25 year old Saudi female, sixth gravida, para four, on renal replacement therapy with regular dialysis for nearly two years, was diagnosed to be pregnant at 12 weeks, with a single viable fetus. She was managed with increased frequency of dialysis and increased doses of anti-hypertensive drugs. For the control of anemia, which was further worsened by the pregnancy, she was treated with r-HuEPO 125 to 150 u/kg 3 times/week along with iron and vitamin supplements to maintain hemoglobin of 90 gm/L. The pregnancy continued to 36 weeks and she had a spontaneous normal delivery of a male baby without any congenital defects, weighing 1605 grams with Apgar score of four at one minute and nine at five minutes.

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