RESEARCH ARTICLE


Patient Outcome in Pregnancy Requiring Dialysis: A Case Series



Karina Sulaiman*, Madhavilatha Vuppali , Kenneth Abreo
Department of Medicine, Nephrology Section, Louisiana State University Health Sciences Center, Shreveport, Louisiana


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Creative Commons License
© Sulaiman et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Section of Nephrology, LSU Health Sciences Center, 1501 Kings Highway, Shreveport, LA 71130, USA; Tel: 318-675-7402; Fax: 318-675-5913; E-mail: ksulai@lsuhsc.edu


Abstract

The optimal management of pregnant dialysis patients remains a great challenge for nephrologists, end-stage renal disease being a predictor of adverse outcomes in this condition. We report a single-center experience of four patients requiring dialysis during pregnancy, all of which resulted in successful delivery of viable infants. Our success rate may reflect an overall improvement in management of this population, with special attention paid to multiple risk factors. These include blood pressure and volume control, anemia management with erythropoietin analogues, nutritional intake and total dose of dialysis.

Keywords: Hemodialysis, outcomes, pregnancy..