Successful pregnancies in patients on chronic hemodialysis. Experience in peruvian public hospitals

• Main Authors: Percy Herrera-Añazco, Cristian León-Rabanal, Enrique M. Florez-Gálvez
• Format: Article
• Language: Spanish
• Published: Asociación Regional de Diálisis y Trasplantes Renales de Capital Federal y Provincia de Buenos Aires 2018-12-01
• Series: Revista de Nefrología, Diálisis y Trasplante
• Subjects: embarazo; parto obstétrico; diálisis renal
• Online Access: https://www.revistarenal.org.ar/index.php/rndt/article/view/374

Reports of pregnant patients with chronic kidney disease on hemodialysis (CKDHD) with successful births are becoming more frequent. In the Ministry of Health there are no publications of official records of patients on dialysis and, therefore, data about pregnant women on dialysis are unknown. A retrospective and multicenter study was conducted on patients with CKDHD who had successful births in the public hospitals of Lima. Only 4 were found to have enough data for the report. The patients had an average age of 29 years (SD: 4.8), with an average gestation time at the end of pregnancy of 30.5 weeks (SD: 3.69). Preeclampsia was the most common complication in 2 out of 4 patients and all patients had less than 20 hours of treatment per week. The Ministry of Health should propose contingency measures for the management of these cases, which will be more and more frequent.