Key result
All three pregnant patients requiring dialysis managed over a 10-year period experienced fetal loss during the second trimester.
Why the study?
What are the pregnancy outcomes in patients requiring peritoneal dialysis?
Case Report (n=3)
What are the pregnancy outcomes in patients requiring peritoneal dialysis?
Pregnancy in patients requiring peritoneal dialysis is associated with a high risk of fetal loss during the second trimester.
Answers are grounded in this paper and cite their sources.
High fetal loss risk warrants caution in counseling peritoneal dialysis pregnancies; leaves open need for larger outcome studies.
SummaryPregnancy is an unusual event in women with end stage renal failure. In a study of 1281 women of childbearing age cared for in 260 dialysis units in the States over a 2 years study period, only 1–5 per cent of them became pregnant, and only 37 per cent of them had a livebirth (Hou, 1994). Fetal loss is very common in this group of patients, but has been seldom reported. Most reports are skewed in favour of a positive outcome as investigators tend to report their success rather than failures. In the past 10 years, we have managed three pregnant patients who required dialysis and they all lost their fetuses during the second trimester. Hence we report our experience and review the reports on successful pregnancies. The problems of management are discussed.
No takes yet. Share an insight, caveat, or question.
Lo et al. (1996) conducted a case report in End stage renal failure in pregnancy (n=3). Dialysis was evaluated on Fetal loss. All three pregnant patients requiring dialysis managed over a 10-year period experienced fetal loss during the second trimester.
Synapse has enriched 10 related papers. Consider them for comparative context: