Abstract

CURBELO RODRIGUEZ, Leonardo; PEREZ SARMIENTO, Raul; MARCANO DIAZ, Amarilis  and  MORALES RIVERO, Raul. Pregnancy and hemodialysis. AMC [online]. 2016, vol.20, n.1, pp.36-43. ISSN 1025-0255.

Background: hemodialysis is the first-choice method to substitute the renal function for women with chronic kidney disease or acute kidney injury during pregnancy or the postpartum period. Perinatal complications are frequent; nevertheless, knowing the adequacy of the technique in the medical treatment of these patients can contribute to reduce the presentation of the disease or improve the perinatal results. Objective: to show the importance of individualizing the hemodialysis of pregnant women with acute kidney injury to preserve the life of the mother and the fetus. Clinical case: a thirty-six-year-old female patient with 31 weeks of gestation that is admitted because of deep vein thrombosis in the right leg. The patient presented acute kidney injury caused by acute interstitial nephritis. She required hemodialysis treatment for three weeks and had a successful pregnancy. Results: the 35, 3 weeks of gestation were accomplished; a cesarean section was conducted at this time with no complications for the mother or the baby. Conclusion: conducting a hemodialysis in a pregnant woman is a challenge to the multidisciplinary medical team since perinatal complications are more frequent. To know the technical aspects and the medical recommendation for the treatment with hemodialysis for this kind of patients contributed to the success of this pregnancy.

Keywords : PREGNANCY; RENAL INSUFFICIENCY; RENAL DIALYSIS; NEPHRITIS, INTERSTITIAL; ADULT; CASE REPORTS.

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