Open AccessPregnancy in a woman undergoing peritoneal dialysis: Management and dialysis options
Author(s) -
Rita Veríssimo,
Estela Nogueira,
João Bernardo,
M. Graça Pereira,
Cristina Pinto Abreu,
Nuria Roldán López,
Cristina Resina,
Patrícia Matias,
José António Lopes,
Patrícia Branco,
Luísa Pinto
Publication year - 2022
Publication title -
clinical nephrology - case studies
Language(s) - English
Resource type - Journals
ISSN - 2196-5293
DOI - 10.5414/cncs110828
Subject(s) - medicine , peritoneal dialysis , hemodialysis , dialysis , pregnancy , intensive care medicine , end stage renal disease , surgery , obstetrics , genetics , biology
Pregnancy in patients with end-stage renal disease on maintenance dialysis is uncommon, with annual incidences reported at 0.3 - 2.7%. Peritoneal dialysis usage in pregnancy has been less reported than hemodialysis, although outcomes are similar. Nowadays, there are insufficient data to establish a generalizable dialysis strategy in pregnant women with end-stage renal disease. As such, decisions should be individualized, depending on clinical factors, residual renal function, and, whenever possible, choice of the patient. We report the case of a 22-year-old patient receiving peritoneal dialysis who delivered a full-term, normal weight, healthy baby with increased dialysis dose achieved by supplementary hemodialysis during pregnancy, thus enabling peritoneal dialysis to be continued until the third trimester and minimizing hemodialysis requirements.