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PREGNANCY IN END-STAGE RENAL DISEASE PATIENTS AND TREATMENT WITH PERITONEAL DIALYSIS: REPORT OF TWO CASES

Peritoneal Dialysis and Kidney Transplant Section, Department of Nephrology, Hospital Central Militar México, Mexico City, Mexico

Correspondence to: J.A. Gómez Vázquez, Peritoneal Dialysis Section, Hospital Central Militar México, Mexico City, Mexico.
nefrologia00{at}yahoo.com.mx

Pregnancy in end-stage renal disease patients is infrequent and is associated with fetal loss, premature delivery, intrauterine growth restriction, and lack of control of or exacerbation of or onset of hypertension. Even after replacement of renal function, the prognosis for the patient and the fetus is poor. A point of controversy is the renal replacement therapy method. This report is based on two clinical cases of pregnancy in peritoneal dialysis patients that resulted in full-term delivery. Adequate metabolic and blood pressure control was achieved during pregnancy, the only mutual complication being the presence of polyhydramnios. However, both infants were healthy for their gestational age and without neonatal complications. We may conclude that peritoneal dialysis is an acceptable therapeutic option for pregnant patients and their fetuses.

KEY WORDS: KEY WORDS:; Pregnancy; chronic kidney disease.

Received 8 January 2007; accepted 23 February 2007.

Copyright © 2007 by Multimed Inc.