Successful pregnancy in patient on regular dialysis.

Ackrill, P.; Goodwin, F. J.; Marsh, Franklin; Stratton, Dan; Wagman, H.

doi:10.1136/bmj.2.5964.172

Cited by 44 publications

(8 citation statements)

References 11 publications

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“…Such management has been successful in patients with preeclampsia (Goldsmith et al, 1971) and systemic lupus erythematosus (Mitra et al, 1970). Three successful pregnancies have been reported in patients who were being treated by regular haemodialysis (Unzelman et al, 1973;Campbell and Newman, 1971;Ackrill et al, 1975). Three successful pregnancies have been reported in patients who were being treated by regular haemodialysis (Unzelman et al, 1973;Campbell and Newman, 1971;Ackrill et al, 1975).…”

Section: Discussionmentioning

confidence: 99%

“…In another pregnancy a live infant survived for only a few hours after delivery (Beaudry et al, 1971). A more recent report (Ackrill et al, 1975) of a 24-year-old patient with a creatinine clearance of 2 a 2 ml/minute describes a pregnancy complicated by severe hypertension but resulting in the birth of a 1530 g male infant following breech delivery and a first stage of labour lasting seven hours. A more recent report (Ackrill et al, 1975) of a 24-year-old patient with a creatinine clearance of 2 a 2 ml/minute describes a pregnancy complicated by severe hypertension but resulting in the birth of a 1530 g male infant following breech delivery and a first stage of labour lasting seven hours.…”

Section: Discussionmentioning

confidence: 99%

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Successful Pregnancy in a 44‐year‐old Haemodialysis Patient

Sheriff

Hardman

Lamont

et al. 1978

BJOG

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A 44-year-old patient had been treated by intermittent haemodialysis for almost three years when she presented with a 28-week pregnancy. Successful delivery of a healthy but small infant was achieved by Caesarean section at 36 weeks. The successful outcome of this pregnancy was attributed to close control of the haemoglobin concentration and blood chemistry, and to increased frequency of dialysis. The relative value of various chemical tests of fetal maturity in the presence of maternal renal failure are discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Successful Pregnancy in a 44‐year‐old Haemodialysis Patient

Sheriff

Hardman

Lamont

et al. 1978

BJOG

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“…With the latter dialysis modality, the dialysis‐induced, large reduction in serum osmolality as a result of large decreases in the levels of waste products such as BUN, in the absence of comparable decreases in the “sequestered” amniotic fluid, may lead to movement of water into the amniotic cavity and the development of polyhydramnios in a pregnant dialysis patient. Better adjustment of plasma volume as a result of more frequent dialysis treatment may also help control hypertension, as well as lower the risk of dialysis‐induced hypotension, thus lowering the incidence of fetal distress and premature labor 9,11 , 12 . Serum electrolytes need to be monitored at least weekly to avoid hypokalemia.…”

Section: Discussionmentioning

confidence: 99%

Phosphorus‐enriched hemodialysis during pregnancy: Two case reports

Hussain

Savin

Piering

et al. 2005

Hemodialysis International

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Successful pregnancy leading to delivery of a viable infant is an uncommon occurrence either in women with established renal disease or in those with renal failure requiring chronic dialytic treatment. The frequency of conception in patients with renal failure has increased, however, and the outcome of such pregnancies has improved over the past 32 years. Current guidelines for dialysis in pregnant women include prolonged dialysis times, generally 20 or more hours per week. This extensive dialysis regimen often results in a decrease in the serum inorganic phosphorus levels, with possible detrimental effects to the health of the mother and the unborn child. In this article, we report the successful multidisciplinary management of two pregnant women with end-stage renal disease, both of whom developed hypophosphatemia after initiation of intensive hemodialysis. Sodium phosphate salts were added to the dialysate of each patient and this addition successfully corrected the decrease in serum inorganic phosphate concentration. One patient was able to carry the pregnancy for 28 weeks with delivery of a healthy 1260-g infant. The pregnancy of the second patient ended at 25 weeks of gestation with delivery of a nonviable infant.

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“…Successful pregnancy outcome has been described in renal transplant recipients (Hou 1989; Gaudier et al 1988; Davison 1987) as well as in patients treated by haemodialysis (Ackrill et al 1975). Intrauterine growth retardation commonly occurs in such patients, and may be partially related to maternal metabolic derangements and to impaired utero‐placental and feto‐placental perfusion.…”

Section: Discussionmentioning

confidence: 99%