Successful Pregnancy of a Woman with Advanced Renal Failure on Nutritional Treatment

Abstract

A case is reported of a successful pregnancy of a woman with advanced renal failure treated nutritionally. The importance of an intensive interdisciplinary medical coworking is stressed, and the individual adaptation of the dietary treatment to the special nutritional requirements in pregnancy is discussed.

Successful Pregnancy in a Patient with Polycystic Kidney Disease and Advanced Renal Failure without Prophylactic Dialysis

“…Although fertility is decreased, spontaneous pregnancies may happen in women with advanced renal insufficiency [1, 2, 3, 4]. These pregnancies are frequently associated with a progressive decline in renal function that may result in end-stage renal failure even in female patients whose serum creatinine are mildly elevated at the start of their pregnancy [4, 5, 6, 7].…”

“…A high frequency of premature births and low birth weights have been reported following pregnancies in women whose Scr levels are >1.4 mg/dl [3, 4, 7, 8, 9, 12, 13]. Jones and Hayslett [7]reported the outcome of 82 pregnancies in 67 women whose initial Scr was ≥1.4 mg/dl and gestations that continued beyond the first trimester.…”

“…However, when performed, it has not yet been established that this intervention during pregnancy significantly improves the fetal outcome as premature births and infants of low birth weights are still reported [3, 4, 8, 9]. …”

“…Fertility is decreased in women suffering from chronic renal failure [1, 2, 3, 4]. When pregnancy occurs in such women, their renal function further deteriorates and their hypertension is usually exacerbated [4, 5, 6, 7].…”

“…When pregnancy occurs in such women, their renal function further deteriorates and their hypertension is usually exacerbated [4, 5, 6, 7]. Pregnancies in these women are associated with a high frequency of premature births of infants with low birth weights [3, 4, 7, 8, 9]. In order to decrease the incidence of these complications, instituting prophylactic dialysis has been suggested since this intervention can ameliorate the uremic milieu and improve maternal status and fetal uterine environment [4, 10, 11].…”