Abstract
Background: Pregnancy is rare in women with end-stage renal disease (ESRD). However, this scenario has changed in recent years with considerable improvement and successful outcomes in pregnant women with end-stage renal disease on dialysis. The understanding of the principles related to pregnant dialysis patients, combined with a multidisciplinary approach to case management, has resulted in many success stories, and today, pregnancy for young women with ESRD is more plausible and far safer than ever before.
However, these pregnancies carry a high-risk status for both the mother and fetus, with increased rates of maternal and fetal complications.
Case Presentation: We present a series of three women who conceived while on dialysis and delivered successfully. These women were managed with increasing dialysis frequency and developing a clinical protocol early on, with a multidisciplinary approach and close collaboration with obstetricians. Our case series is unique as one of the women had three successful deliveries while on dialysis, and one of them had a positive outcome with twin pregnancies while on dialysis.
Conclusion: Successful outcomes in these high-risk pregnancies while on dialysis suggest that with meticulous care and multidisciplinary approach, conception and successful deliveries are plausible in women who receive dialysis.
Keywords: Pregnancy, Hemodialysis, Chronic kidney disease, Dialysis, ESRD, Patients.
New Emirates Medical Journal
Title:Pregnancy in Women on Dialysis: Success Stories from a Tertiary Care Hospital in Dubai, United Arab Emirates
Volume: 5
Author(s): Dhanya Mohan*, Heba Rami Al Jagoub, Hamzeh Abdallah Al Subbah, Fakhriya Alalawi, Mona Al Rukhaimi and Amna Alhadari
Affiliation:
- Department of Nephrology, Dubai Hospital, Dubai, UAE
Keywords: Pregnancy, Hemodialysis, Chronic kidney disease, Dialysis, ESRD, Patients.
Abstract:
Background: Pregnancy is rare in women with end-stage renal disease (ESRD). However, this scenario has changed in recent years with considerable improvement and successful outcomes in pregnant women with end-stage renal disease on dialysis. The understanding of the principles related to pregnant dialysis patients, combined with a multidisciplinary approach to case management, has resulted in many success stories, and today, pregnancy for young women with ESRD is more plausible and far safer than ever before.
However, these pregnancies carry a high-risk status for both the mother and fetus, with increased rates of maternal and fetal complications.
Case Presentation: We present a series of three women who conceived while on dialysis and delivered successfully. These women were managed with increasing dialysis frequency and developing a clinical protocol early on, with a multidisciplinary approach and close collaboration with obstetricians. Our case series is unique as one of the women had three successful deliveries while on dialysis, and one of them had a positive outcome with twin pregnancies while on dialysis.
Conclusion: Successful outcomes in these high-risk pregnancies while on dialysis suggest that with meticulous care and multidisciplinary approach, conception and successful deliveries are plausible in women who receive dialysis.
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Cite this article as:
Mohan Dhanya*, Al Jagoub Rami Heba, Al Subbah Hamzeh Abdallah, Alalawi Fakhriya, Al Rukhaimi Mona and Alhadari Amna, Pregnancy in Women on Dialysis: Success Stories from a Tertiary Care Hospital in Dubai, United Arab Emirates, New Emirates Medical Journal 2024; 5 : e02506882256496 . https://dx.doi.org/10.2174/0102506882256496231025093727
DOI https://dx.doi.org/10.2174/0102506882256496231025093727 |
Print ISSN 0250-6882 |
Publisher Name Bentham Science Publisher |
Online ISSN 0250-6882 |

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