Pregnancy and dialysis

  • Allan J. Goody
  • Jason G. Umans

Abstract

Counseling and caring for pregnant women with end-stage renal disease (ESRD) presents significant challenges and requires close cooperation between nephrologists and their colleagues in high-risk obstetrics. Previously, pregnancy in an ESRD patient, as well as in many women with chronic renal insufficiency, routinely led to recommendation of termination, given risks to the mother and the low likelihood of a successful outcome (1). As the number of women requiring renal replacement therapy has increased, more data on the course and outcomes of pregnancies have become available, allowing for specific recommendations and more precise prognosis. We start by reviewing normal physiological adaptations to pregnancy, as they will guide changes in the dialysis prescription for grayidas with ESRD.

Keywords

Warfarin Progesterone Cyclosporin Renin Aldosterone 

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Copyright information

© Springer Science+Business Media Dordrecht 2004

Authors and Affiliations

  • Allan J. Goody
  • Jason G. Umans

There are no affiliations available

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