Advanced CKD poses significant maternal and fetal risks during pregnancy, often necessitating dialysis initiation.
Cohort
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What are the dialysis initiation patterns and their impact on adverse maternal and fetal outcomes in pregnant women with advanced CKD?
There is wide variation in dialysis initiation practices for pregnant women with advanced CKD, underscoring the need for standardized care to manage significant maternal and fetal risks.
Introduction: There are insufficient data to guide the initiation of dialysis in pregnancy, contributing to wide variation in practice and uncertainty in the management of this high-risk population. Our study aimed to examine dialysis initiation patterns in pregnancy, describe adverse pregnancy outcomes in women with advanced chronic kidney disease (CKD), and assess the impact of dialysis hours on these outcomes. Methods: within 12 months of conception, or a serum creatinine ≥ 150 μmol/l when first measured during pregnancy. For pregnancies where dialysis was initiated, regional differences in dialysis indications, prescriptions, and laboratory data were described. Adverse maternal and fetal outcomes were assessed for all pregnancies. Results: (SD: 12.1). Conclusion: Advanced CKD poses significant maternal and fetal risks during pregnancy, often necessitating dialysis initiation. Variations in clinical practice underscore the need for standardized care in this high-risk population.
Yo et al. (Thu,) conducted a cohort in Advanced chronic kidney disease (CKD) in pregnancy. Dialysis initiation and dialysis hours was evaluated on Adverse maternal and fetal outcomes. Advanced CKD poses significant maternal and fetal risks during pregnancy, often necessitating dialysis initiation.