Dialysis in Pregnancy

Fisher, Evan I.; Deering, Shad; Oliver, James D.

doi:10.1002/9781119129400.ch16

Cited by 1 publication

(6 citation statements)

References 52 publications

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“…Following the automatic removal of 738 duplicate records, 3252 articles were screened by title and abstract. A total of 292 records were then reviewed by full text; 136 of these met the inclusion criteria [2,5,9,14,19,20,26,.…”

Section: Resultsmentioning

confidence: 99%

“…These figures highlight the scarcity of literature regarding carbohydrate, fat, fibre, and fluid recommendations for pregnant women receiving dialysis. A total of 23 (10.8%) additional macronutrient recommendations were also charted [1,5,41,48,56,68,86,94,101,[104][105][106]112,121,124,128,133,139,141,169,177,182,183], which included general commentary as well as recommendations from studies other than the ones made or prescribed by those charted in this review. Of the 136 included papers, 29 did not make any macronutrient recommendations [3,9,14,45,66,70,78,83,88,[91][92][93][95][96][97][98]111,118,119,123,130,148,152,…”

Section: Recommendations Regarding Macronutrientsmentioning

confidence: 99%

“…Thirteen publications advised a total weight gain of 1.0-1.5 kg in the first trimester [35,48,67,71,79,102,143,146,166,173,174,181,185]. Moreover, 19 studies suggested weight gain of 0.5 kg/week from the second trimester [1][2][3]35,48,52,59,60,75,77,92,118,125,146,173,175,177,179,185], whilst 12 recommended weight gain of 0.3-0.5 kg/week during the second and third trimesters of pregnancy [5,47,58,61,66,70,79,80,84,137,165,182].…”

Section: Recommendations Regarding Other Commentarymentioning

confidence: 99%

“…Furthermore, pregnancy on dialysis is associated with significant risks [1]. Foetal complications include prematurity (>80%), spontaneous abortion (40%), foetal/neonatal demise (21-33%), intrauterine growth restriction (20%), and polyhydramnios (29-67%) [5]. follicle-stimulating hormone.…”

Section: Introductionmentioning

confidence: 99%

“…A nationwide survey conducted in 2014 by the Italian Study Group on 'Kidney and Pregnancy' found that the probability of delivering a live-born baby on dialysis was onehundredth of the general population of the same age group [8]. Additionally, maternal complications include accelerated decline in renal function, worsened hypertension, superimposed preeclampsia, preterm labour, worsened anaemia, and abruptio placentae [5]. Evidently, pregnancy in this context remains a challenging scenario.…”

Section: Introductionmentioning

confidence: 99%

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Nutritional Recommendations for Pregnant Women Receiving Dialysis: A Scoping Review

Cutajar,

Lambert

2024

Kidney and Dialysis

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Pregnancy in the dialysing population is an infrequent but increasing event. There is a lack of contemporary guidance regarding the nutritional management of this complex patient group. The aim of this scoping review was to identify, evaluate and summarise the evidence base describing nutritional recommendations for pregnant women receiving dialysis. A systematic search strategy of four databases and the grey literature was conducted. Eligible publications contained reference to recommendations regarding nutrition, supplements, breastfeeding, dietary patterns, and/or weight recommendations for pregnant dialysing women. A total of 136 eligible records were included for synthesis including 66 case reports/case series, 46 reviews, 15 book chapters, 5 editorials, and 4 consensus guidelines/position papers. Recommendations regarding energy, protein, dietary patterns, weight, and vitamin and mineral supplementation were common. However, significant discrepancy across these recommendations was evident. There were limited recommendations regarding other nutrients and breastfeeding. A summary of nutritional recommendations to guide clinical practice was constructed. Pregnancy planning, pre-conception dietetic counselling, interprofessional education, and the guidance synthesised in this review could be utilised by clinicians to improve clinical management and optimise outcomes in these patients. Future research should explore the experiences and perspectives of pregnant dialysing women, investigate nutrient losses during intensive dialysis, and evaluate postpartum follow-up.

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