Clinical perspectives to improve pregnancy outcome in women undergoing chronic hemodialysis

• Autor(a) principal: Marques,Luiz Paulo José
• Data de Publicação: 2020
• Outros Autores: Rocco,Regina, Marinho,Paulo Roberto Silva, Madeira,Eugênio Pacelle Queiroz, Vieira,Lygia Maria Soares Fernandes
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692020000400011
• topic: pregnancy; chronic kidney disease; hemodialysis; medical care; maternal-fetal outcome

Severe Chronic Kidney Disease is considered a powerful method of contraception per se, and pregnancy among women undergoing chronic hemodialysis is a rare event. Women on dialysis usually have amenorrhea or irregular menstrual cycles and sexual dysfunction. They are often unaware of their pregnancy, which delays the diagnosis and the beginning of adequate obstetric-nephrological care, increasing the risk of maternal and fetal complications including pre-eclampsia, fetal growth restriction, preterm delivery, and perinatal death. However, pregnancy among women on dialysis is increasing exponentially around the world. The authors present the two last pregnancies of patients on dialysis followed in their hospital, review clinical procedures, and the improvements of medical care during gestation used to contribute to a successful gestation outcome. Pregnancy is possible in women on chronic hemodialysis.