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| ORIGINAL ARTICLE |
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| Year : 2010 |
Volume
: 21 | Issue : 4 | Page
: 646-651 |
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Pregnancy during Hemodialysis: A Single Center Experience
Abdelali Bahadi1, Driss El Kabbaj1, Khalid Guelzim2, Jaouad Kouach2, Mohammed Hassani1, Omar Maoujoud1, Mohammed Aattif1, Mouncif Kadiri1, Dina Montassir1, Yassir Zajjari1, Ahmed Alayoud1, Mohammed Benyahia1, Mostapha Elallam1, Zouhir Oualim1
1 Service of Nephrology, Hemodialysis and Kidney Transplantation, Military Hospital of Instruction, Mohammed V. Rabat, Morocco
2 Service of Gynecology obstetric, Military Hospital of Instruction, Mohammed V Rabat, Morocco
Correspondence Address:
Driss El Kabbaj
Service of Nephrology, Hemodialysis and Kidney Transplantation, Military Hospital of Instruction, Mohammed V, Rabat
Morocco
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 20587867 
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Successful pregnancy outcome is an uncommon occurrence in women requiring chronic dialysis treatment. We reviewed the course and outcome of 9 pregnancies occurred in women on chronic hemodialysis in our center from 1999-2007; 5 of them ended with delivery of alive newborns, 2 with fetal deaths in-utero, and 2 with abortions. The average age of patients was 34 years. The etiology of the original kidney disease was unknown in 44.4% of the cases, and only 22.2% of the patients maintained diuresis. Dialysis started in 8 cases before the diagnosis of pregnancy. The average gestational age at diagnosis was 14 weeks. We modified the prescription of dialysis in 4 patients by increasing the frequency of the dialysis sessions to 6 per week and in 3 by increasing the duration of each session to 6 hours. Anemia was present in all the cases; 3 patients received erythropoietin and 4 patients required transfusion. The pregnancy was complicated in 44% of the cases by a polyhydramnios. The average time at delivery was 33 weeks and it was achieved in 80% of pregnancies through vaginal route. The average weight of newborns was to 2380 g. We conclude that pregnancy in women on hemodialysis is possible. The success of pregnancy may be influenced by the residual diuresis and early diagnosis to improve the quality of dialysis by increasing the dialysis dose. |
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