Pregnancy and End-Stage Renal Disease

被引:56
|
作者
Tangren, Jessica [1 ]
Nadel, Molly [1 ]
Hladunewich, Michelle A. [2 ]
机构
[1] Harvard Univ, Massachusetts Gen Hosp, Dept Med, Div Nephrol, Boston, MA USA
[2] Univ Toronto, Dept Med, Div Nephrol, Toronto, ON, Canada
关键词
Pregnancy; End-stage renal disease; Intensive hemodialysis; AMBULATORY PERITONEAL-DIALYSIS; NOCTURNAL HOME HEMODIALYSIS; SEXUAL DYSFUNCTION; PLASMA-PROTEIN; WOMEN; PREECLAMPSIA; OUTCOMES; HYPERTENSION; PROLACTIN; EXCRETION;
D O I
10.1159/000485157
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Pregnancy is uncommon in women with end-stage renal disease (ESRD). Fertility rates are low in women on dialysis, and physicians still frequently counsel women with ESRD against pregnancy. Advancements in the delivery of dialysis and obstetric care have led to improved live birth rates in women on dialysis, so pregnancy for young women with ESRD is now more feasible and safer. However, these pregnancies remain high-risk for both maternal and fetal complications, necessitating experienced multidisciplinary care. In this article, we review fertility issues in women with ESRD, discuss pregnancy outcomes in women on dialysis, and provide an approach for management of pregnant women with ESRD. (c) 2018 S. Karger AG, Basel
引用
收藏
页码:194 / 200
页数:7
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