Pregnancy in patients with chronic kidney disease undergoing dialysis
Abstract Women with chronic kidney disease are less likely to become pregnant and are more susceptible to pregnancy complications when compared to patients with normal kidney function. As a result, these are considered high-risk pregnancies, both maternal and fetal. Over the years, there has been an...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Nefrologia
2024-11-01
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| Series: | Brazilian Journal of Nephrology |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002024000400406&lng=en&tlng=en |
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| _version_ | 1846169865391439872 |
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| author | Fernanda Salomão Gorayeb-Polacchini Ana Flavia Moura Claudio Luders José Andrade Moura Neto Juliana El Ghoz Leme Dirceu Reis da Silva |
| author_facet | Fernanda Salomão Gorayeb-Polacchini Ana Flavia Moura Claudio Luders José Andrade Moura Neto Juliana El Ghoz Leme Dirceu Reis da Silva |
| author_sort | Fernanda Salomão Gorayeb-Polacchini |
| collection | DOAJ |
| description | Abstract Women with chronic kidney disease are less likely to become pregnant and are more susceptible to pregnancy complications when compared to patients with normal kidney function. As a result, these are considered high-risk pregnancies, both maternal and fetal. Over the years, there has been an increase in the incidence of pregnancies in dialysis patients, and an improvement in maternal and fetal outcomes. It is believed that the optimization of obstetric and neonatal care, the adjustment of dialysis treatment (particularly the increase in the number of hours and weekly frequency of dialysis sessions), and the use of erythropoiesis-stimulating agents have provided better metabolic, volume, blood pressure, electrolyte, and anemia control. This review article aims to analyze pregnancy outcomes in chronic kidney disease patients undergoing dialysis and to review nephrological medical management in this scenario. Due to the growing interest in the subject, clinical recommendations for care practice have become more consistent in both drug and dialysis management, aspects that are addressed in this review. |
| format | Article |
| id | doaj-art-4a86b5a88756466ab76b77efd7c7b4cd |
| institution | Kabale University |
| issn | 2175-8239 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Sociedade Brasileira de Nefrologia |
| record_format | Article |
| series | Brazilian Journal of Nephrology |
| spelling | doaj-art-4a86b5a88756466ab76b77efd7c7b4cd2024-11-12T07:47:22ZengSociedade Brasileira de NefrologiaBrazilian Journal of Nephrology2175-82392024-11-0146410.1590/2175-8239-jbn-2024-0067enPregnancy in patients with chronic kidney disease undergoing dialysisFernanda Salomão Gorayeb-Polacchinihttps://orcid.org/0000-0001-8803-1300Ana Flavia Mourahttps://orcid.org/0000-0001-7368-4704Claudio Ludershttps://orcid.org/0000-0002-9831-2824José Andrade Moura Netohttps://orcid.org/0000-0003-1339-3731Juliana El Ghoz Lemehttps://orcid.org/0000-0002-1194-6446Dirceu Reis da Silvahttps://orcid.org/0000-0002-7587-0604Abstract Women with chronic kidney disease are less likely to become pregnant and are more susceptible to pregnancy complications when compared to patients with normal kidney function. As a result, these are considered high-risk pregnancies, both maternal and fetal. Over the years, there has been an increase in the incidence of pregnancies in dialysis patients, and an improvement in maternal and fetal outcomes. It is believed that the optimization of obstetric and neonatal care, the adjustment of dialysis treatment (particularly the increase in the number of hours and weekly frequency of dialysis sessions), and the use of erythropoiesis-stimulating agents have provided better metabolic, volume, blood pressure, electrolyte, and anemia control. This review article aims to analyze pregnancy outcomes in chronic kidney disease patients undergoing dialysis and to review nephrological medical management in this scenario. Due to the growing interest in the subject, clinical recommendations for care practice have become more consistent in both drug and dialysis management, aspects that are addressed in this review.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002024000400406&lng=en&tlng=enChronic Kidney DiseaseDialysisPregnancyPregnancy ComplicationsPreeclampsia |
| spellingShingle | Fernanda Salomão Gorayeb-Polacchini Ana Flavia Moura Claudio Luders José Andrade Moura Neto Juliana El Ghoz Leme Dirceu Reis da Silva Pregnancy in patients with chronic kidney disease undergoing dialysis Brazilian Journal of Nephrology Chronic Kidney Disease Dialysis Pregnancy Pregnancy Complications Preeclampsia |
| title | Pregnancy in patients with chronic kidney disease undergoing dialysis |
| title_full | Pregnancy in patients with chronic kidney disease undergoing dialysis |
| title_fullStr | Pregnancy in patients with chronic kidney disease undergoing dialysis |
| title_full_unstemmed | Pregnancy in patients with chronic kidney disease undergoing dialysis |
| title_short | Pregnancy in patients with chronic kidney disease undergoing dialysis |
| title_sort | pregnancy in patients with chronic kidney disease undergoing dialysis |
| topic | Chronic Kidney Disease Dialysis Pregnancy Pregnancy Complications Preeclampsia |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002024000400406&lng=en&tlng=en |
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