Gestación con Éxito en Paciente en Programa de Hemodiálisis. Revisión y recomendaciones

Abstract

Successful pregnancy in a hemodialysis unit is a rare process. Many factors contribute to the low incidence; hormonal and psychological disorders, maternal and fetal complications. Until recently, pregnancy in these stages of chronic kidney disease has been discouraged and even contraindicated. In recent years there have been recommendations for the management of this risk provoking controversy about what the health professional must advise.
We report a case of a successful pregnancy in an 27-years Asian patient in our hemodialysis unit in which the monitoring of the recommendations led to a successful pregnancy and absence of maternal and child complications. These recommendations consisted of strict control leading in a drastic increase in hours of weekly hemodialysis, use of filters with high permeability, weight control and interdialysis gain, blood pressure, more frequent ultrasound control, multidisciplinary monitoring (nephrologist, obstetrician and nurse) and individualized diet. This behavior can significantly change the concept of this situation on women in hemodialysis with a susceptible gestational age.
Our experience in this case has been positive, without complications in both the mother and newborn. In principle, breastfeeding should not be ruled out.