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Management of pregnancy in a dialysis patient

Abstract

Women treated with hemodialysis often have periods of unovulation and barrenness. Only about 40% percent betations of the women who have conceived after the beginning of dialysis therapies resulted in birth of alive babies. A case of successful managed pregnancy and its management in a dialysis patient is described. Pregnancy has been revealed at term of 12-13 weeks. Betation was managed according to a protocol developed in collaboration with accoucheurs and gynecologists. Correction of anemia and treatment of placental insufficiency were performed. At about 32-33 weeks a girl weighted 1670 grams was born by a Ceaser section operation.

About the Authors

A. H. Hatshukov
Отделение гемодиализа ГКБ № 1, г. Нальчик
Russian Federation


A. H. Osmanov
Отделение гемодиализа ГКБ № 1, г. Нальчик
Russian Federation


T. R. Mamhegova
Отделение гемодиализа ГКБ № 1, г. Нальчик
Russian Federation


References

1. Гиатрас И., Леви Д.П., Малок Ф.М., Карлсон Ж.А., Юнгерс П. Беременность во время диализа: описание случая и рекомендации по ведению. Нефрология и диализ 2001; 3; 2: 285-291.

2. Даугирдас Д.Т., Блейк П.Д., Инг Т.С. Руководство по диализу. Пер. с англ. под ред. А.Ю. Денисова и В.Ю. Шило. Тверь: Триада, 2003: 669-696.

3. Шаповаленко С.А. Комплексная диагностика и лечение плацентарной недостаточности у беременных на разных стадиях гестации. Вестник Росс. ассоциации акушеров-гинекологов 2001; 2: 43-47.

4. Confortini P., Galanti G., Ancona G., Giongo A., Bruschi E., Lorenzini E. Full term pregnancy and successful delivery in a patient on chronic haemodialysis. Proc EDTA 1971; 8: 74-80.

5. Eichorn К.Н., Bauer C., Eckhard K.U., Zimmermann A.H., Huch R. Lack of associations between fetal and maternal serum erythropoietin at birth. Eur J Obstet Gynecol Reprod Biol 1993; 50: 47.

6. Grossman S.D., Hou S., Moretti M.I., Saran S. Nutrition in the pregnant dialysis patient. J Renal Nutr 1993; 3: 56-66.

7. Le Curieux F., Marzin D., Erb F. Comparison of three shortterm assays: results on seven chemicals. Mutat Res 1993; 319: 223-236.

8. McGregor E., Stewart G., Junor В.J.R., Rodger R.S.C. Successful use of recombinant human erythropoyetin in pregnancy. Nephrol Dial Transplant 1991; 6: 292-293.

9. Nageotte M.P., Grundy H.O. Pregnancy outcome in women requiring chronic hemodialysis. Obstet Gynecol 1988; 72: 456-459.

10. Nissenson A.R. Erytropoietin overview 1993. Blood Purif 1994 Jan-Feb; 12: 6-13.

11. Pekonen P., Rosenlof K., Rutanen E.M., Fyhrquist F. Erythropoietin binding sites in human fetal tissues. Acta Endocrinol 1987; 116: 561-567.

12. Schneider H., Malek A.R. Lack of permeability of the human placenta for erythropoietin. J Perinat Med 1995; 23: 71-76.


Review

For citations:


Hatshukov A.H., Osmanov A.H., Mamhegova T.R. Management of pregnancy in a dialysis patient. Nephrology and Dialysis. 2005;7(2):177-180. (In Russ.)

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ISSN 1680-4422 (Print)
ISSN 2618-9801 (Online)