| Summary: | Pregnancy in end stage renal disease women who are on Hemodialysis has been considered a challenging event for both mother and fetus. Generally, outcomes of pregnancy in patients with end-stage renal disease (ESRD) have been considered to be extremely poor, and pregnancy in this group of patients is rather scarce. The frequency of conception is ranged from 0.3% per year in Belgium to 1.4% per year in Saudi Arabia. Based on data, about 50% of these conceptions are lead to surviving infant finally. Although there is higher prevalence of adverse effects of pregnancy on maternal and fetal outcome in these groups of patients, they can be managed by tight control of patient condition and intensive dialysis. Suitable pharmacological strategies also help to achieve success. We present a young woman with frequent unsuccessful conception in a long duration dialysis who finally had a successful pregnancy with a surviving infant in our center.
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