Acta Scientific Clinical Case Reports

Research ArticleVolume 3 Issue 8

Outcome of Pregnancy in Chronic Hemodialysis Patients: Single Center Experience

Tanweer Iqbal*, Ahmed Mahmoud Aborahma, Abdulhamid Kanaan, Ahmed Ali Ahmed, Ahmed Zakaria Ali and Ali Mohammed Al-Lehbi

Ali Allehbi Medical Center, Riyadh, Saudi Arabia

*Corresponding Author: Tanweer Iqbal, Senior Consultant Internal Medicine/Nephrology, Ali Allehbi Medical Center, Riyadh, Saudi Arabia.

Received: June 23, 2022; Published: July 14, 2022

Abstract

Pregnancy is an uncommon event in women with End Stage Renal Disease who are on maintenance hemodialysis treatment. This case series conducted at Prince Naif Dialysis Centre, Security Forces Hospital and Lehbi medical Centre (Riyadh, Saudi Arabia) was aimed to study the outcome of pregnancies among end-stage renal disease (ESRD) patients on maintenance hemodialysis. The purpose of these cases was to share our experience in managing pregnant women’s who were on long term hemodialysis in our center from January 2014 to March 2022. Out of 5 cases, 4 of them had delivery of alive newborns and 1 had intrauterine death of the fetus. The average age of patients was 33.5 years. The average time from start of hemodialysis to become pregnant was 20 months. The average gestational age at diagnosis was 13.5 weeks. Modification in dialysis prescription was made in all patients from 3 times per week to six times per week. The average time at delivery was 35.4 weeks. The average weight of newborns was 2342 ± 458 gram. In conclusion successful pregnancy is possible in hemodialysis patients if managed with vigilance and with close follow up with multi-disciplinary team.

Keywords: Pregnancy; End-stage Renal Disease; Hemodialysis; Outcome

Bibliography

  1. Confortini P., et al. “Full term pregnancy and successful delivery in a patient on chronic hemodialysis”. Proceedings of the European Dialysis and Transplant Association 8 (1971): 74-80.
  2. Hons S. “Pregnancy in chronic renal insufficiency and end stage renal disease”. American Journal of Kidney Diseases 33 (1999): 235-252.
  3. Willium D and Davison J. “Chronic kidney disease in pregnancy”. BMJ 336 (2008): 211-215.
  4. Vidaeff AC., et al. “Pregnancy in women with renal disease: part 1-General principles”. American Journal of Perinatology 25 (2008): 385-397.
  5. Tomas H., et al. “Pregnancy in women receiving renal dialysis or transplantation in Japan: a nationwide survey”. Nephrology Dialysis Transplantation 14 (1999): 1511-1516.
  6. Jesudason S., et al. “Pregnancy outcome according to dialysis commencing before or after conception in women with ESRD”. Clinical Journal of the American Society of Nephrology 9 (2014): 143-149.
  7. Souqiyyah MZ., et al. “Pregnancy in chronic hemodialysis patients in the kingdom of Saudi Arabia”. American Journal of Kidney Diseases 19 (1992): 235-238.
  8. Eroqiu D., et al. “Pregnancy during hemodialysis: pernatal outcome in our series”. Transplantation Proceedings1 (2004): 53-55.
  9. Karina S., et al. “Patient outcome in pregnancy requiring dialysis: A case series”. Urology and Nephrology Journal 7 (2014): 52-55.
  10. Luders C., et al. “Obstetric outcomes in pregnant women on long term dialysis a case series”. American Journal of Kidney Diseases1 (2010): 77-85.
  11. Haase M., et al. “A systematic approach to managing pregnant dialysis patients – the importance of an intensified hemodiafiltration protocol”. Nephrology Dialysis Transplantation 20 (2005): 2537-2542.
  12. Khan R., et al. “Never say never in medicine: successful pregnancy in a hemodialysis patient despite tubal ligation”. CEN Case Report1 (2018): 183-184.
  13. Al-Saran KA and Sabry AA. “Pregnancy in dialysis patients: a case series”. Journal of Medical Case Reports 2 (2008): 10.
  14. Barua M., et al. “Successful pregnancy on nocturnal home hemodialysis”. Clinical Journal of the American Society of Nephrology 3 (2008): 392-396.
  15. Gouja D., et al. “Pregnancy in hemodialysis: experience of hemodialysis centers in Southern Tunisia during 34 years”. Kidney Internal Reports 5 (2020): S211.
  16. Bahloul H., et al. “Pregnancy in Chronic Hemodialysis Women: Outcome of Multicentric Study”. Saudi Journal of Kidney Diseases and Transplantation 14 (2003): 530-531.
  17. Manisco G., et al. “Pregnancy in end-stage renal disease patients on dialysis: how to achieve a successful delivery”. Clinical Kidney Journal 3 (2015): 293-299.
  18. Chaker H., et al. “Pregnancy in patients on chronic haemodialysis: about 25 cases which occurred in the south of Tunisia”. Pan African Medical Journal 36 (2020): 195.
  19. Yang LY., et al. “Obstetric outcomes in women with end-stage renal disease on chronic dialysis: a review”. Obstetric Medicine2 (2010): 48-53.
  20. Cnattingius S., et al. “Apgar Score and Risk of Neonatal Death among Preterm Infants”. The New England Journal of Medicine 1 (2020): 49-57.
  21. Hou S. “Pregnancy in women on hemodialysis and peritoneal dialysis”. Baillière's Clinical Obstetrics and Gynaecology 8 (1994): 481.
  22. Allen LH. “Anemia and iron deficiency effects on pregnancy outcomes”. The American Journal of Clinical Nutrition 71 (2000): 1280-1284.

Citation: Tanweer Iqbal., et al. “Outcome of Pregnancy in Chronic Hemodialysis Patients: Single Center Experience". Acta Scientific Clinical Case Reports 3.8 (2022): 03-07.

Copyright: © 2022 Sohiel Nagib., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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