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Obstetric outcomes in women with end‐stage renal failure requiring renal dialysis
Author(s) -
Tan L.K.,
Kanagalingam D.,
Tan H.K.,
Choong H.L.
Publication year - 2006
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2006.03.033
Subject(s) - medicine , obstetrics , polyhydramnios , pregnancy , gestational age , birth weight , retrospective cohort study , low birth weight , gestation , surgery , biology , genetics
Objective : To study obstetric outcomes in women with end‐stage renal failure undergoing chronic renal dialysis. Methods : A retrospective review of the database from the High‐Risk Pregnancy Clinic at Singapore General Hospital, Singapore. Results : From 1995 to 2004, 7 women treated with chronic renal dialysis had a total of 11 pregnancies. There were 2 pregnancy losses at previable gestation ages and 9 live births. Median gestational age at delivery was 31 weeks, and mean birth weight was 1390 g. Seven newborns had a low birth weight and 5 required neonatal intensive care. Severe hypertension occurred in 4 women for a total of 7 pregnancies. Other complications included polyhydramnios ( n = 2), preterm prelabor rupture of membranes ( n = 2), obstetric cholestasis ( n = 2), postpartum hemorrhage ( n = 1), thrombosis of the arteriovenous fistula ( n = 2), postpartum peritonitis ( n = 1), and fetal anomaly ( n = 1). There were no maternal deaths. Conclusion : Such pregnancies are high‐risk, particularly because of maternal hypertension and prematurity. They should be managed by multidisciplinary teams, and prepregnancy counseling should not be neglected.