Repeated Pregnancy with Delivery of Full Term Baby in a Dialysis Woman:Case Report and Review of Literature

Abstract

Pregnancy is a rare event in a woman on maintenance dialysis. We report a case of 40 year old patient on hemodialysis who had 2 uncomplicated pregnancy 6 years apart with delivery of full term healthy babies. The fertility and conception in patients with renal failure is reviewed. The reported pregnancies and their outcome from different countries in patients on dialysis showed that majority result in abortion, still birth or preterm babies. The care of a pregnant dialysis patient should involve increased dialysis hours and special care to dialysis bath and heparin use. The care should involve team work of nephrologists, obstetricians, and nutritionists and well trained nursing staff.