An Alternative Approach to Delivering Intensive Dialysis in Pregnancy

Perit Dial Int. 2016;36(5):575-7. doi: 10.3747/pdi.2016.00051.

Abstract

Pregnancy outcomes in patients with end-stage renal disease (ESRD) on dialysis are improving. Recent literature supports intensive hemodialysis (HD) as the modality of choice during pregnancy in ESRD. We report the successful delivery of a healthy infant at full term in a patient with ESRD by supplementing peritoneal dialysis (PD) with intermittent HD to achieve adequate dialysis intensity.

Keywords: CAPD; dialysis dose; hemodialysis; peritoneal dialysis; pregnancy.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Cesarean Section
  • Female
  • Gestational Age
  • Humans
  • Kidney Failure, Chronic / diagnosis
  • Kidney Failure, Chronic / therapy*
  • Patient Preference
  • Peritoneal Dialysis, Continuous Ambulatory / methods*
  • Pregnancy
  • Pregnancy Outcome*
  • Pregnancy, High-Risk*
  • Renal Dialysis / methods*
  • Risk Assessment