Pregnancy Outcome in a Hemodialysis Patients from A Low- Resource Country (Kaolack, Senegal)

Abstract

Introduction: Conception on chronic hemodialysis (CHD) is a rare and high-risk maternal--fetal event. We report on the first case of pregnancy with birth of a live child in our hemodialysis center in Kaolack (Senegal). Observation: A 35-year-old woman had been on chronic hemodialysis for 18 months. Amenorrhea (AS) was identified at week 22 of pregnancy. Control of blood pressure, dry weight, an acceptable hemoglobin level, and intensification of dialysis sessions, enabled a natural delivery at 32 weeks of a live newborn weighing 1200g. Conclusion: Close collaboration between nephrologists, obstetricians, neonatologists, and nutritionists determined the success of pregnancy with CHD.