Case of pregnancy favorable outcome in a patient receiving hemodialysis therapy. Case report

Pregnancy in patients with terminal renal failure receiving renal replacement therapy by hemodialysis is associated with high risks of complications at all stages of its development. Here we describe a case of qualified observation and treatment of a 39 years old patient with terminal renal failure and planned pregnancy, starting with pregravid preparation. Dialysis therapy promoted the normalization of the most important functions of the women’s body, including reproductive. At the time of the initiation of pregravid preparation, the duration of renal replacement therapy was twenty-two years. Conception occurred on the background of pregravid preparation. In the process of observation, adequate correction of the dialysis and drug therapy was carried out. This clinical case describes some complications that occur at the twelfth week of the pregnancy, such as anemia, cholestasis. Considering the high risk of premature birth from 18 weeks of gestation, the patient's maternal mode was limited to the bed-rest by being in a specialized gynecological hospital. Continuation of conservative therapy of pregnancy at the period of 23-24 weeks in the obstetric-gynecological clinic allowed the prolongation of the bearing of the fetus and the choice of the optimal method of delivery - cesarean section. The appointment of glucocorticoids at 23d and 25th weeks of pregnancy provided prevention of respiratory distress syndrome in the fetus. As a result, the mother and child were discharged in a good condition.

беременность, программный гемодиализ, терминальная почечная недостаточность, pregnancy, program hemodialysis, end stage of chronic kidney failure

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