Pregnancy during hemodialysis: perinatal outcome in our cases

Pregnancy in Dialysis Patients

“…There is a growing number of reports on pregnant dialysis patients from countries where cultural habits and religious beliefs strongly support a central role of large families, an outlook very different from that in most European and North American countries (7)(8)(9)(10). Furthermore, the greatly improved results attained with higher dialysis efficiency may contribute to a different outlook with respect to pregnancy in dialysis (5).…”

Embarazos exitosos en hemodiálisis crónica: experiencia de un único centro

“…El primer grupo recibió un tratamiento menos intensivo, 12 h/semana, dado que tenían función renal residual. 16 , donde las pacientes tuvieron al menos 24 h de diálisis a la semana y un objetivo de NUS preHD menor de 20 mg/dL no hubo mortalidad fetal ni neonatal. Barua et al (2008) 17 reportan 6 casos de embarazadas con HD nocturna que alcanzaron 48 h/semanales de diálisis, obteniendo 6 partos exitosos y sólo 1 antes de las 36 semanas.…”

Metformin-Associated Lactic Acidosis in a Pregnant Patient

“…Its use has also been described during pregnancy in patients with chronic renal disease [5] . However, no clinical trial has compared hemodialysis and other therapeutic modalities [1] .…”

“…With increasing numbers of pregnant women treated with metformin for different etiologies, metformin intoxication may potentially become a significant issue. Through metformin is known to pass freely through the placenta [5] , the possible side effects to the fetus of a high-dose episode has never been recognized before. In the presented case, the fetus, in the second trimester at the time of the mother's overdose, remained free of complications.…”