A 35-year-old woman on continuous ambulatory peritoneal dialysis successfully delivered a baby girl at 32 weeks but developed severe postpartum peritonitis requiring catheter removal.
Case Report (n=1)
Successful pregnancy can be achieved in patients on CAPD with aggressive dialysis, though cesarean delivery may require full peritonitis prophylaxis.
A 35-year-old woman conceived six months after initiating continuous ambulatory peritoneal dialysis (CAPO). A medical plan was developed to give the patient adequate dialysis for a 1.5 g/kg/day protein Intake. In addition, alterations in calcium, magnesium, and erythropoietin administration were required to reach the objectives set by the obstetrical/renal team. Three weeks prior to delivery, an amniotic leak developed, and vaginal cultures were positive for Escherichia coli. Oral amoxiclllin was administered (500 mg per os q.i.d.) until the day of delivery. A 1545-g baby girl was delivered by cesarean section at 32 weeks. Five days postpartum the patient developed severe peritonitis, which subsequently grew E. coli. The patient fully recovered from the peritonitis, but catheter removal was required. Successful pregnancy can be expected on CAPO, and adequacy can be achieved with aggressive dialysis. Cesarean section delivery should probably be accompanied by full peritonitis therapy.
Tison et al. (Mon,) conducted a case report in Pregnancy on continuous ambulatory peritoneal dialysis (CAPD) (n=1). Continuous ambulatory peritoneal dialysis (CAPD) was evaluated on Pregnancy outcome and peritonitis recovery. A 35-year-old woman on continuous ambulatory peritoneal dialysis successfully delivered a baby girl at 32 weeks but developed severe postpartum peritonitis requiring catheter removal.
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