Embarazos exitosos en hemodiálisis crónica: experiencia de un único centro

Background: The frequency of pregnancies during dialysis is increasing. This condition requires changes in the dialysis schedule and nutritional approach. Aim: To report the experience in six patients with terminal kidney disease who became pregnant. Material and Methods: Retrospective review of med...

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Autores principales:	Espinoza,Francisco, Romeo,Romina, Ursu,Marcela, Tapia,Augusto, Vukusich,Antonio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2013
Materias:	Pregnancy highrisk Renal dialysis Renal insufficiency
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000800006
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spelling	oai:scielo:S0034-988720130008000062014-01-27Embarazos exitosos en hemodiálisis crónica: experiencia de un único centroEspinoza,FranciscoRomeo,RominaUrsu,MarcelaTapia,AugustoVukusich,Antonio Pregnancy highrisk Renal dialysis Renal insufficiency Background: The frequency of pregnancies during dialysis is increasing. This condition requires changes in the dialysis schedule and nutritional approach. Aim: To report the experience in six patients with terminal kidney disease who became pregnant. Material and Methods: Retrospective review of medical records of women with terminal kidney disease in dialysis who became pregnant in a period of 27 years. Results: We recorded six successful pregnancies among women in hemodialysis treatment aged 32 ± 4 years. The mean dialysis-time per week was 19.5 ± 2.7 hours and Kt/V was 1.55 ± 0.17. The mean systolic blood pressure was 130 ± 13.3 mmHg. The mean packed cell volume of the group increased from 22.7% during pre-gestational stage to 30.2% during third trimester of pregnancy. All patients received an intensive treatment for anemia. The most common symptom of pregnancy was hyperemesis. The mean gestational age (GA) at diagnosis was 13.4 ± 4.7 weeks. All patients had preterm deliveries at a GA of 33 ± 1.7 weeks, and 66% of offspring were appropriate for gestational age. Conclusions: A multidisciplinary approach allows high rate of successful pregnancies during hemodialysis.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.141 n.8 20132013-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000800006es10.4067/S0034-98872013000800006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Pregnancy highrisk Renal dialysis Renal insufficiency
spellingShingle	Pregnancy highrisk Renal dialysis Renal insufficiency Espinoza,Francisco Romeo,Romina Ursu,Marcela Tapia,Augusto Vukusich,Antonio Embarazos exitosos en hemodiálisis crónica: experiencia de un único centro
description	Background: The frequency of pregnancies during dialysis is increasing. This condition requires changes in the dialysis schedule and nutritional approach. Aim: To report the experience in six patients with terminal kidney disease who became pregnant. Material and Methods: Retrospective review of medical records of women with terminal kidney disease in dialysis who became pregnant in a period of 27 years. Results: We recorded six successful pregnancies among women in hemodialysis treatment aged 32 ± 4 years. The mean dialysis-time per week was 19.5 ± 2.7 hours and Kt/V was 1.55 ± 0.17. The mean systolic blood pressure was 130 ± 13.3 mmHg. The mean packed cell volume of the group increased from 22.7% during pre-gestational stage to 30.2% during third trimester of pregnancy. All patients received an intensive treatment for anemia. The most common symptom of pregnancy was hyperemesis. The mean gestational age (GA) at diagnosis was 13.4 ± 4.7 weeks. All patients had preterm deliveries at a GA of 33 ± 1.7 weeks, and 66% of offspring were appropriate for gestational age. Conclusions: A multidisciplinary approach allows high rate of successful pregnancies during hemodialysis.
author	Espinoza,Francisco Romeo,Romina Ursu,Marcela Tapia,Augusto Vukusich,Antonio
author_facet	Espinoza,Francisco Romeo,Romina Ursu,Marcela Tapia,Augusto Vukusich,Antonio
author_sort	Espinoza,Francisco
title	Embarazos exitosos en hemodiálisis crónica: experiencia de un único centro
title_short	Embarazos exitosos en hemodiálisis crónica: experiencia de un único centro
title_full	Embarazos exitosos en hemodiálisis crónica: experiencia de un único centro
title_fullStr	Embarazos exitosos en hemodiálisis crónica: experiencia de un único centro
title_full_unstemmed	Embarazos exitosos en hemodiálisis crónica: experiencia de un único centro
title_sort	embarazos exitosos en hemodiálisis crónica: experiencia de un único centro
publisher	Sociedad Médica de Santiago
publishDate	2013
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000800006
work_keys_str_mv	AT espinozafrancisco embarazosexitososenhemodialisiscronicaexperienciadeununicocentro AT romeoromina embarazosexitososenhemodialisiscronicaexperienciadeununicocentro AT ursumarcela embarazosexitososenhemodialisiscronicaexperienciadeununicocentro AT tapiaaugusto embarazosexitososenhemodialisiscronicaexperienciadeununicocentro AT vukusichantonio embarazosexitososenhemodialisiscronicaexperienciadeununicocentro
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Embarazos exitosos en hemodiálisis crónica: experiencia de un único centro

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