Successful pregnancy in an end-stage renal disease woman on chronic hemodialysis
Successful conception in a female patient on hemodialysis (HD) is considered a high-risk pregnancy and associated with maternal and fetal complications. Thus, most such pregnancies lead to abortion or termination to preserve maternal health. Here, we report a successfully-delivered case of a 19th-we...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Society of Diabetic Nephropathy Prevention
2022-09-01
|
| Series: | Journal of Nephropathology |
| Subjects: | |
| Online Access: | https://nephropathol.com/PDF/jnp-11-e18387.pdf |
| _version_ | 1797828079129722880 |
|---|---|
| author | Fatemeh Yaghoubi Farnaz Tavakoli Davood Dalil Saeid Iranzadeh |
| author_facet | Fatemeh Yaghoubi Farnaz Tavakoli Davood Dalil Saeid Iranzadeh |
| author_sort | Fatemeh Yaghoubi |
| collection | DOAJ |
| description | Successful conception in a female patient on hemodialysis (HD) is considered a high-risk pregnancy and associated with maternal and fetal complications. Thus, most such pregnancies lead to abortion or termination to preserve maternal health. Here, we report a successfully-delivered case of a 19th-week-diagnosed pregnancy in a 35-year-old mother with end-stage renal disease (ESRD). We present the case of a 35-year-old female with ESRD, diagnosed 10 years ago secondary to glomerulonephritis. The patient underwent the deceased–donor renal transplantation once, which unfortunately was rejected. During the initial tests for second-time kidney transplantation, a human chorionic gonadotropin-beta (beta-hCG) positive with a level of 9953 mIU/mL was reported, suggesting the pregnancy. The transvaginal ultrasonography confirmed the pregnancy at an approximate gestational age of 19 weeks. As a result, the patient underwent four and half hours of intensive HD five times a week and continued until 36 weeks of pregnancy. At 36 weeks, the patient presented to Shariati hospital, Tehran, Iran, with low- back pain. Consequently, a cesarean section (C/S) was performed, and the baby boy was born with a nine of ten Apgar score. Although successful pregnancy is possible for women with ESRD, it requires special multidisciplinary care. Intensive HD and regular fetal monitoring have improved the pregnancy outcome in this population. However, the risk of severe complications is still for the health of the mother and her offspring. |
| first_indexed | 2024-04-09T12:58:38Z |
| format | Article |
| id | doaj.art-d7bb5c25e4fa4b889e34742c7af0fb67 |
| institution | Directory Open Access Journal |
| issn | 2251-8363 2251-8819 |
| language | English |
| last_indexed | 2024-04-09T12:58:38Z |
| publishDate | 2022-09-01 |
| publisher | Society of Diabetic Nephropathy Prevention |
| record_format | Article |
| series | Journal of Nephropathology |
| spelling | doaj.art-d7bb5c25e4fa4b889e34742c7af0fb672023-05-13T11:01:32ZengSociety of Diabetic Nephropathy PreventionJournal of Nephropathology2251-83632251-88192022-09-01114e18387e1838710.34172/jnp.2022.18387jnp-18387Successful pregnancy in an end-stage renal disease woman on chronic hemodialysisFatemeh Yaghoubi0Farnaz Tavakoli1Davood Dalil2Saeid Iranzadeh3Nephrology Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, IranNephrology Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, IranStudent Research Committee, Faculty of Medicine, Shahed University, Tehran, IranStudent Research Committee, Faculty of Medicine, Shahed University, Tehran, IranSuccessful conception in a female patient on hemodialysis (HD) is considered a high-risk pregnancy and associated with maternal and fetal complications. Thus, most such pregnancies lead to abortion or termination to preserve maternal health. Here, we report a successfully-delivered case of a 19th-week-diagnosed pregnancy in a 35-year-old mother with end-stage renal disease (ESRD). We present the case of a 35-year-old female with ESRD, diagnosed 10 years ago secondary to glomerulonephritis. The patient underwent the deceased–donor renal transplantation once, which unfortunately was rejected. During the initial tests for second-time kidney transplantation, a human chorionic gonadotropin-beta (beta-hCG) positive with a level of 9953 mIU/mL was reported, suggesting the pregnancy. The transvaginal ultrasonography confirmed the pregnancy at an approximate gestational age of 19 weeks. As a result, the patient underwent four and half hours of intensive HD five times a week and continued until 36 weeks of pregnancy. At 36 weeks, the patient presented to Shariati hospital, Tehran, Iran, with low- back pain. Consequently, a cesarean section (C/S) was performed, and the baby boy was born with a nine of ten Apgar score. Although successful pregnancy is possible for women with ESRD, it requires special multidisciplinary care. Intensive HD and regular fetal monitoring have improved the pregnancy outcome in this population. However, the risk of severe complications is still for the health of the mother and her offspring.https://nephropathol.com/PDF/jnp-11-e18387.pdfend-stage renal diseasehemodialysisdialysispregnancychronic kidney diseaserenal replacement therapy |
| spellingShingle | Fatemeh Yaghoubi Farnaz Tavakoli Davood Dalil Saeid Iranzadeh Successful pregnancy in an end-stage renal disease woman on chronic hemodialysis Journal of Nephropathology end-stage renal disease hemodialysis dialysis pregnancy chronic kidney disease renal replacement therapy |
| title | Successful pregnancy in an end-stage renal disease woman on chronic hemodialysis |
| title_full | Successful pregnancy in an end-stage renal disease woman on chronic hemodialysis |
| title_fullStr | Successful pregnancy in an end-stage renal disease woman on chronic hemodialysis |
| title_full_unstemmed | Successful pregnancy in an end-stage renal disease woman on chronic hemodialysis |
| title_short | Successful pregnancy in an end-stage renal disease woman on chronic hemodialysis |
| title_sort | successful pregnancy in an end stage renal disease woman on chronic hemodialysis |
| topic | end-stage renal disease hemodialysis dialysis pregnancy chronic kidney disease renal replacement therapy |
| url | https://nephropathol.com/PDF/jnp-11-e18387.pdf |
| work_keys_str_mv | AT fatemehyaghoubi successfulpregnancyinanendstagerenaldiseasewomanonchronichemodialysis AT farnaztavakoli successfulpregnancyinanendstagerenaldiseasewomanonchronichemodialysis AT davooddalil successfulpregnancyinanendstagerenaldiseasewomanonchronichemodialysis AT saeidiranzadeh successfulpregnancyinanendstagerenaldiseasewomanonchronichemodialysis |