Pregnancy and Hemodialysis: About a Successful Twin Pregnancy
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11377 |
Resumo: | Pregnancy is a rare condition in women with chronic kidney disease on hemodialysis, but its incidence has increased in recent years. Despite being a high-risk condition for both mother and fetus, there has been an improvement in care due to the increased number of cases described and the experience gained in dialysis therapy. We report the case of a multiparous 32-years-old women with chronic hypertension and chronic kidney disease with 10 years of evolution and difficult control, with a diagnosis of dichorionic/diamniotic twin pregnancy, 4 months after beginning hemodialysis. Pregnancy was managed by a multidisciplinary team, hemodialysis sessions were clinically and hemodynamically well tolerated, with good blood pressure and analytical control, as well as adequate development of both fetuses. She went into labor at 34 weeks and 6 days, so a caesarean section was performed, with 2 boys born with adequate weight for gestational age. |
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Pregnancy and Hemodialysis: About a Successful Twin PregnancyGravidez e Hemodiálise: A Propósito de uma Gravidez Gemelar Bem SucedidaPregnancyTwinRenal DialysisRenal InsufficiencyChronicDiálise RenalGravidez GemelarInsuficiência Renal CrónicaPregnancy is a rare condition in women with chronic kidney disease on hemodialysis, but its incidence has increased in recent years. Despite being a high-risk condition for both mother and fetus, there has been an improvement in care due to the increased number of cases described and the experience gained in dialysis therapy. We report the case of a multiparous 32-years-old women with chronic hypertension and chronic kidney disease with 10 years of evolution and difficult control, with a diagnosis of dichorionic/diamniotic twin pregnancy, 4 months after beginning hemodialysis. Pregnancy was managed by a multidisciplinary team, hemodialysis sessions were clinically and hemodynamically well tolerated, with good blood pressure and analytical control, as well as adequate development of both fetuses. She went into labor at 34 weeks and 6 days, so a caesarean section was performed, with 2 boys born with adequate weight for gestational age.A gravidez é uma situação rara em mulheres com doença renal crónica sob hemodiálise. Contudo, a sua incidência tem aumentado nos últimos anos. Apesar de ser uma situação de elevado risco materno e fetal, tem havido uma melhoria na assistência, devido ao aumento do número de casos descritos e da experiência adquirida na terapia dialítica. Relatamos o caso de uma multípara de 32 anos com hipertensão crónica e doença renal crónica com 10 anos de evolução e difícil controlo, com diagnóstico de gravidez gemelar bicoriónica/biamniótica, quatro meses após início da hemodiálise. A gestação foi vigiada por uma equipa multidisciplinar, as sessões de hemodiálise bem toleradas clínica e hemodinamicamente, com bom controlo tensional e analítico seriado, assim como adequado desenvolvimento de ambos os fetos. Foi submetida a cesariana às 34 semanas e seis dias por início de trabalho de parto, tendo nascido dois meninos com peso adequado para a idade gestacional.Ordem dos Médicos2021-01-04info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/pdfapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11377oai:ojs.www.actamedicaportuguesa.com:article/11377Acta Médica Portuguesa; Vol. 34 No. 1 (2021): January; 56-58Acta Médica Portuguesa; Vol. 34 N.º 1 (2021): Janeiro; 56-581646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11377https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11377/6221https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11377/10868https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11377/10869https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11377/10870https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11377/11508https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11377/11604Direitos de Autor (c) 2020 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessMedeiros, RitaPais, Maria de São JoséFreitas, LuísMoura, Paulo2022-12-20T11:06:14Zoai:ojs.www.actamedicaportuguesa.com:article/11377Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:20:01.860378Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Pregnancy and Hemodialysis: About a Successful Twin Pregnancy Gravidez e Hemodiálise: A Propósito de uma Gravidez Gemelar Bem Sucedida |
title |
Pregnancy and Hemodialysis: About a Successful Twin Pregnancy |
spellingShingle |
Pregnancy and Hemodialysis: About a Successful Twin Pregnancy Medeiros, Rita Pregnancy Twin Renal Dialysis Renal Insufficiency Chronic Diálise Renal Gravidez Gemelar Insuficiência Renal Crónica |
title_short |
Pregnancy and Hemodialysis: About a Successful Twin Pregnancy |
title_full |
Pregnancy and Hemodialysis: About a Successful Twin Pregnancy |
title_fullStr |
Pregnancy and Hemodialysis: About a Successful Twin Pregnancy |
title_full_unstemmed |
Pregnancy and Hemodialysis: About a Successful Twin Pregnancy |
title_sort |
Pregnancy and Hemodialysis: About a Successful Twin Pregnancy |
author |
Medeiros, Rita |
author_facet |
Medeiros, Rita Pais, Maria de São José Freitas, Luís Moura, Paulo |
author_role |
author |
author2 |
Pais, Maria de São José Freitas, Luís Moura, Paulo |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Medeiros, Rita Pais, Maria de São José Freitas, Luís Moura, Paulo |
dc.subject.por.fl_str_mv |
Pregnancy Twin Renal Dialysis Renal Insufficiency Chronic Diálise Renal Gravidez Gemelar Insuficiência Renal Crónica |
topic |
Pregnancy Twin Renal Dialysis Renal Insufficiency Chronic Diálise Renal Gravidez Gemelar Insuficiência Renal Crónica |
description |
Pregnancy is a rare condition in women with chronic kidney disease on hemodialysis, but its incidence has increased in recent years. Despite being a high-risk condition for both mother and fetus, there has been an improvement in care due to the increased number of cases described and the experience gained in dialysis therapy. We report the case of a multiparous 32-years-old women with chronic hypertension and chronic kidney disease with 10 years of evolution and difficult control, with a diagnosis of dichorionic/diamniotic twin pregnancy, 4 months after beginning hemodialysis. Pregnancy was managed by a multidisciplinary team, hemodialysis sessions were clinically and hemodynamically well tolerated, with good blood pressure and analytical control, as well as adequate development of both fetuses. She went into labor at 34 weeks and 6 days, so a caesarean section was performed, with 2 boys born with adequate weight for gestational age. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-04 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11377 oai:ojs.www.actamedicaportuguesa.com:article/11377 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11377 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/11377 |
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por |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11377 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11377/6221 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11377/10868 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11377/10869 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11377/10870 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11377/11508 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11377/11604 |
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Direitos de Autor (c) 2020 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2020 Acta Médica Portuguesa |
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application/pdf application/pdf application/pdf application/pdf application/vnd.openxmlformats-officedocument.wordprocessingml.document application/pdf |
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Ordem dos Médicos |
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Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 34 No. 1 (2021): January; 56-58 Acta Médica Portuguesa; Vol. 34 N.º 1 (2021): Janeiro; 56-58 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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