Pregnancy in dialysis patients in the new millennium: a systematic review and meta-regression analysis correlating dialysis schedules and pregnancy outcomes

Piccoli, Giorgina Barbara; Minelli, Fosca; Versino, Elisabetta; Cabiddu, Gianfranca; Attini, Rossella; Vigotti, Federica Neve; Rolfo, Alessandro; Giuffrida, Domenica; Colombi, Nicoletta; Pani, Antonello; Todros, Tullia

doi:10.1093/ndt/gfv395

Cited by 153 publications

(192 citation statements)

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“…In this patient the main factors for success seem to be the increased duration and frequency of HD sessions, the ample supplementation of erythropoietin, iron, folate and vitamins and the adequate maternal nutrition in combination with the effective pharmaceutical support and close obstetric monitoring, as well as the advances of neonatal care [1].…”

Section: Discussionmentioning

confidence: 99%

“…Cardiovascular instability and hypotension may compromise fetal wellbeing and must be avoid during HD [2]. A recent review concluded that the frequency and duration of dialysis expressed as the number of hours per week were significantly correlated with two major outcomes: prematurity and delivery of a small for gestational age babies (birth weight less than the tenth percentile) [1].…”

Section: Discussionmentioning

confidence: 99%

“…End-stage chronic renal disease affects few women in reproductive age but there is an increasing incidence and interest in pregnancy on dialysis, as shown by the growing number of reported cases [1]. Women that conceive before and start dialysis during early pregnancy is rare.…”

Section: Introductionmentioning

confidence: 99%

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Successful Twin Pregnancy in Hemodialysis Patient: Multidisciplinary Approach

Cunha¹,

Carreira²

2017

J Anesth Clin Res

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Background and objectives: There is an increasing incidence and interest in pregnancy on hemodialysis (HD), as shown by the increasing number of reported cases, but woman that start dialysis during early pregnancy is rare. Fetal death is still a likely outcome without a multidisciplinary approach and adequate team communication, so accurate maternal and fetal monitoring from an early stage is required. Multiple pregnancies carry a higher-risk of fetal and maternal complications. We report the management of a twin pregnancy in a hemodialysis patient, in a woman with three previous cesareans. We have not found similar reports in the literature.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Successful Twin Pregnancy in Hemodialysis Patient: Multidisciplinary Approach

Cunha¹,

Carreira²

2017

J Anesth Clin Res

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“…Данные, полученные в Европе и Австралии, указывают, что между женщинами с трансплан-тированной почкой и общей популяцией имеется соотношение 1:10, такое же соотношение между женщинами на диализе и женщинами с трансплан-тированной почкой (вероятность забеременеть у женщин на диализе составляет 1:100 по отноше-нию к общей популяции) [52,53]. Тем не менее пер-вые единичные случаи успешной беременности на диализе описаны еще в 1970-е гг., а в новом тысяче-летии возможность беременности на диализе стала общепризнанной [8,54,55].…”

Section: диализ и трансплантацияunclassified

What we do and do not know about women and kidney diseases; questions unanswered and answers unquestioned: Reflection on World Kidney Day and International Woman’s Day

et al. 2018

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“…The incidence of PE, compared to the general population) (52,53). The first sporadic cases of successful pregnancy on dialysis were described in the 70s, but in the new millennium this became an acknowledged real clinical possibility (8,54,55).…”

Section: Pregnancymentioning

confidence: 99%

Untitled

2018

Turk Neph Dial Transpl

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Chronic Kidney Disease affects approximately 10% of the world's adult population: it is within the top 20 causes of death worldwide, and its impact on patients and their families can be devastating. World Kidney Day and International Women's Day in 2018 coincide, thus offering an opportunity to reflect on the importance of women's health and specifically their kidney health, on the community, and the next generations, as well as to strive to be more curious about the unique aspects of kidney disease in women so that we may apply those learnings more broadly.Girls and women, who make up approximately 50% of the world's population, are important contributors to society and their families. Gender differences continue to exist around the world in access to education, medical care, and participation in clinical studies. Pregnancy is a unique state for women, offering an opportunity for diagnosis of kidney disease, but also a state where acute and chronic kidney diseases may manifest, and which may impact future generations with respect to kidney health. There are various autoimmune and other conditions that are more likely to impact women with profound consequences for child bearing, and on the fetus. Women have different complications on dialysis than men, and are more likely to be donors than recipients of kidney transplants.In this editorial, we focus on what we do and do not know about women, kidney health, and kidney disease, and what we might learn in the future to improve outcomes worldwide. KEY WORDS:Women, Access to care, Kidney health, Acute and chronic kidney disease, Inequities ÖZ Kronik Böbrek Hastalığı dünyadaki erişkin popülasyonun yaklaşık %10'unu etkiler: dünya çapında ölümün en sık görülen 20 nedeninden biridir ve hastalar ile aileleri üzerinde çok ciddi etkileri olabilir. Dünya Böbrek Günü ve Uluslararası Kadınlar Günü 2018 yılında aynı güne denk gelmiştir. Böylece kadın sağlığı ve özellikle böbrek sağlığının toplum ve sonraki nesiller üzerindeki önemini düşünmek, öğrendiklerimizi daha geniş bir şekilde uygulayabilmek için böbrek hastalığının benzersiz yönleri konusunda daha meraklı olmaya çalışmak için bir fırsat sunmaktadır.Dünya nüfusunun yaklaşık %50'sini oluşturan kızlar ve kadınlar toplum ve ailelerine önemli katkılar yaparlar. Dünya çapında eğitime erişim, tıbbi bakım ve klinik çalışmalara katılmada cinsiyetle ilgili farklılıklar bulunmaya devam etmektedir. Hamilelik kadınlar için eşsiz bir dönemdir ve böbrek hastalığına tanı konması fırsatı yaratır ama aynı zamanda böbrek sağlığı açısından gelecek nesilleri etkileyebilecek akut ve kronik böbrek hastalıklarının ortaya çıkabileceği bir durumdur. Kadınları etkilemesi daha olası olan ve çocuk sahibi olma ve fetus üzerinde çok önemli sonuçlar doğurabilecek çeşitli otoimmün ve başka hastalıklar bulunmaktadır. Kadınların diyaliz komplikasyonları erkeklerden farklıdır ve böbrek naklinde alıcı olmak yerine verici olma olasılıkları daha yüksektir.Bu editör yazısında kadınlar, böbrek sağlığı ve böbrek hastalığı hakkında bildiklerimiz ve bilmed...

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Pregnancy in dialysis patients in the new millennium: a systematic review and meta-regression analysis correlating dialysis schedules and pregnancy outcomes

Abstract: Data on pregnancy on dialysis are heterogeneous but rapidly accumulating; the main determinant of outcomes on HD is the dialysis schedule. The differences between PD and HD should be further analysed.

Cited by 153 publications

References 99 publications

Successful Twin Pregnancy in Hemodialysis Patient: Multidisciplinary Approach

Successful Twin Pregnancy in Hemodialysis Patient: Multidisciplinary Approach

What we do and do not know about women and kidney diseases; questions unanswered and answers unquestioned: Reflection on World Kidney Day and International Woman’s Day

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