Successful Pregnancy Using the NxStage Home Hemodialysis System
Pregnancy in the setting of the uremic milieu of renal disease has a lower success rate than in the normal population and is a rare event. While intensified renal replacement therapy (RRT) during pregnancy can lead to improved outcomes, most studies have focused on nocturnal hemodialysis as the main...
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Format: | Article |
Language: | English |
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Wiley
2016-01-01
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Series: | Case Reports in Nephrology |
Online Access: | http://dx.doi.org/10.1155/2016/1358625 |
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author | Yasmin Brahmbhatt Arinze Ikeme Navjyot Bhogal Vincenzo Berghella |
author_facet | Yasmin Brahmbhatt Arinze Ikeme Navjyot Bhogal Vincenzo Berghella |
author_sort | Yasmin Brahmbhatt |
collection | DOAJ |
description | Pregnancy in the setting of the uremic milieu of renal disease has a lower success rate than in the normal population and is a rare event. While intensified renal replacement therapy (RRT) during pregnancy can lead to improved outcomes, most studies have focused on nocturnal hemodialysis as the main RRT in pregnancy. Although thousands of patients use the home NxStage System One short daily hemodialysis (SDHD) machine in the United States, pregnancy outcomes with this therapy are unknown. The NxStage System One uses low-volume dialysate and hence small and middle molecule clearance may differ compared to conventional therapies and affect pregnancy outcomes. We report a case of a successful conception and pregnancy using the home NxStage system. The NxStage system may provide an alternative to the more routinely used NHD or standard SDHD therapies for women of childbearing age. |
format | Article |
id | doaj-art-c525707f93ab4b529f64ac0cf9112864 |
institution | Kabale University |
issn | 2090-6641 2090-665X |
language | English |
publishDate | 2016-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Nephrology |
spelling | doaj-art-c525707f93ab4b529f64ac0cf91128642025-02-03T06:14:07ZengWileyCase Reports in Nephrology2090-66412090-665X2016-01-01201610.1155/2016/13586251358625Successful Pregnancy Using the NxStage Home Hemodialysis SystemYasmin Brahmbhatt0Arinze Ikeme1Navjyot Bhogal2Vincenzo Berghella3Division of Nephrology, Thomas Jefferson University, 833 Chestnut Street, Suite 700, Philadelphia, PA 19107, USADivision of Nephrology, Thomas Jefferson University, 833 Chestnut Street, Suite 700, Philadelphia, PA 19107, USADivision of Nephrology, Thomas Jefferson University, 833 Chestnut Street, Suite 700, Philadelphia, PA 19107, USADepartment of Obstetrics and Gynecology, Thomas Jefferson University, 833 Chestnut Street, 1st Floor, Philadelphia, PA 19107, USAPregnancy in the setting of the uremic milieu of renal disease has a lower success rate than in the normal population and is a rare event. While intensified renal replacement therapy (RRT) during pregnancy can lead to improved outcomes, most studies have focused on nocturnal hemodialysis as the main RRT in pregnancy. Although thousands of patients use the home NxStage System One short daily hemodialysis (SDHD) machine in the United States, pregnancy outcomes with this therapy are unknown. The NxStage System One uses low-volume dialysate and hence small and middle molecule clearance may differ compared to conventional therapies and affect pregnancy outcomes. We report a case of a successful conception and pregnancy using the home NxStage system. The NxStage system may provide an alternative to the more routinely used NHD or standard SDHD therapies for women of childbearing age.http://dx.doi.org/10.1155/2016/1358625 |
spellingShingle | Yasmin Brahmbhatt Arinze Ikeme Navjyot Bhogal Vincenzo Berghella Successful Pregnancy Using the NxStage Home Hemodialysis System Case Reports in Nephrology |
title | Successful Pregnancy Using the NxStage Home Hemodialysis System |
title_full | Successful Pregnancy Using the NxStage Home Hemodialysis System |
title_fullStr | Successful Pregnancy Using the NxStage Home Hemodialysis System |
title_full_unstemmed | Successful Pregnancy Using the NxStage Home Hemodialysis System |
title_short | Successful Pregnancy Using the NxStage Home Hemodialysis System |
title_sort | successful pregnancy using the nxstage home hemodialysis system |
url | http://dx.doi.org/10.1155/2016/1358625 |
work_keys_str_mv | AT yasminbrahmbhatt successfulpregnancyusingthenxstagehomehemodialysissystem AT arinzeikeme successfulpregnancyusingthenxstagehomehemodialysissystem AT navjyotbhogal successfulpregnancyusingthenxstagehomehemodialysissystem AT vincenzoberghella successfulpregnancyusingthenxstagehomehemodialysissystem |