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Pregnancy and dialysis

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Replacement of Renal Function by Dialysis

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.

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Authors
  1. Allan J. Goody
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  2. Jason G. Umans
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Editor information

Editors and Affiliations

  1. Division of Nephrology, Department of Medicine III, University of Vienna, Währinger Gurtel 18-20, A-1090, Vienna, Austria

    Walter H. Hörl

  2. Division of Nephrology, Centre for Internal Medicine and Dermatology, Medizinische Hochschule, Hannover, Germany

    Karl M. Koch

  3. Optimal Dialysis Research Unit, London Health Sciences Centre and The University of Western Ontario, London, Ontario, Canada

    Robert M. Lindsay

  4. Department of Nephrology, St. Bortolo Hospital, Viale Rodolfi, I-36100, Vicenza, Italy

    Claudio Ronco

  5. RenalTech International, LLC, 320 East 65th St, #116, New York, NY, 10021, USA

    James F. Winchester

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© 2004 Springer Science+Business Media Dordrecht

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Goody, A.J., Umans, J.G. (2004). Pregnancy and dialysis. In: Hörl, W.H., Koch, K.M., Lindsay, R.M., Ronco, C., Winchester, J.F. (eds) Replacement of Renal Function by Dialysis. Springer, Dordrecht. https://doi.org/10.1007/978-1-4020-2275-3_52

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  • DOI: https://doi.org/10.1007/978-1-4020-2275-3_52

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-015-7012-1

  • Online ISBN: 978-1-4020-2275-3

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