Pregnancies in women on chronic dialysis for end-stage renal disease are high risk, but outcomes appear to have improved with increasing experience and advances in dialysis care. This paper reviews the existing data on outcomes in such pregnancies to enable evidence-based preconception counselling and anticipation of antenatal complications.
Registration Committee of the European Dialysis and Transplant Association. Successful pregnancies in women treated by dialysis and kidney transplantation. Br J Obstet Gynaecol1980;87:839–45
2.
TomaH, TanabeK, TokumotoT, KobayashiC, YagisawaT. Pregnancy in women receiving renal dialysis or transplantation in Japan: a nationwide survey. Nephrol Dial Transplant1999;14:1511–6
3.
SouqiyyehMZ, HuraibSO, SalehAG, AswabS. Pregnancy in chronic haemodialysis patients in the Kingdom of Saudi Arabia. Am J Kidney Dis1992;19:235–8
4.
OkundayeI, AbrinkoP, HouS. Registry of pregnancy in dialysis patients. Am J Kidney Dis1998;31:766
5.
ChangCT, WuMS, ChienHC. Successful twin pregnancy in a patient on long-term haemodialysis. Nephrol Dial Transplant1999;14:2487–8
6.
YooJ, UnnikrishnanD, LwinLN, VillanuevaHJ, TannenbergAM. Successful triplet pregnancy in a patient on chronic haemodialysis. Nephrol Dial Transplant2004;19:994–7
7.
AmoedoML, FernándezE, BorrásM, PaisB, MontoliuJ. Successful pregnancy in a hemodialysis patient treated with erythropoietin. Nephron1995;70:262–3
8.
HouCH, LeeCN, HungKY, HuangCH, TsaiTJ, ChenCY. An unexpected pregnancy causes poor drainage in automated peritoneal dialysis. Nephrol Dial Transplant1996;11:2335–7
9.
TisonA, LozowyC, BenjaminA, UsherR, PrichardS. Successful pregnancy complicated by peritonitis in a 35-year old CAPD patient. Perit Dial Int1996;16(Suppl. 1):S489–91
10.
KrawczykW, EgiertA, KrzywickaA, RózycP. The successful outcome of pregnancy in a woman with end-stage renal failure chronically hemodialyzed without change of treatment regimen. Nephron1997;77:492–3
11.
MalikGH, al-WakeelJS, ShaikhJF, Three successive pregnancies in a patient on haemodialysis. Nephrol Dial Transplant1997;12:1991–3
12.
RomãoJEJrLudersC, KahhaleS, Pregnancy in women on chronic dialysis. A single-center experience with 17 cases. Nephron1998;78:416–22
13.
BagonJA, VernaeveH, De MuylderX, LafontaineJJ, MartensJ, Van RoostG. Pregnancy and dialysis. Am J Kidney Dis1998;31:756–65
14.
VidalML, UrsuM, MartinezA, Nutritional control of pregnant women on chronic hemodialysis. J Ren Nutr1998;8:150–6
15.
GiatrasI, LevyDP, MaloneFD, CarlsonJA, JungersP. Pregnancy during dialysis: case report and management guidelines. Nephrol Dial Transplant1998;13:3266–72
16.
NakabayashiM, AdachiT, ItohS, KobayashiM, MishinaJ, NishidaH. Perinatal and infant outcome of pregnant patients undergoing chronic hemodialysis. Nephron1999;82:27–31
17.
ReisterF, ReisterB, HeylW, Dialysis and pregnancy – a case report and review of the literature. Ren Fail1999;21:533–9
18.
RalphC. Pregnancy in a hemodialysis patient with an ethical/cultural challenge. CANNT J2000;10:35–8
19.
TuncerM, TrakB, SapanM, Successful pregnancy complicated with peritonitis in a 25-year-old Turkish CAPD patient. Perit Dial Int2000;20:349–50
20.
ChangH, MillerMA, BrunsFJ. Tidal peritoneal dialysis during pregnancy improves clearance and abdominal symptoms. Perit Dial Int2002;22:272–4
21.
ChaoAS, HuangJY, LienR, KungFT, ChenPJ, HsiehPC. Pregnancy in women who undergo long-term hemodialysis. Am J Obstet Gynecol2002;187:152–6
22.
WalshAM. Management of a pregnant woman dependent on haemodialysis. EDTNA ERCA J2002;28:91–4
23.
LucianiG, BossolaM, TazzaL, Pregnancy during chronic hemodialysis: a single dialysis-unit experience with five cases. Ren Fail2002;24:853–62
24.
GuidaB, PollioF, NastasiA, Nutritional intervention in a hemodialysis pregnant woman: a case report. Clin Nutr2003;22:205–7
25.
MolaisonEF, BakerK, BordelonMA, BrodieP, PowellK. Successful management of pregnancy in a patient receiving hemodialysis. J Ren Nutr2003;13:229–32
26.
PrasadS, ParkhurstD, MortonMR, HenningP, LawtonJ, BannisterK. Increased delivery of haemodialysis assists successful pregnancy outcome in end-stage renal failure. Nephrology (Carlton)2003;8:311–4
27.
KazanciogluR, SahinS, HasR, The outcome of pregnancy among patients receiving hemodialysis treatment. Clin Nephrol2003;59:379–82
28.
Al-WadeiKH, Abu-AsbaNW, DoniaAF. The first reported case of successful pregnancy in a haemodialysis patient in Yemen. Nephrol Dial Transplant2004;19:264
29.
EroğluD, LembetA, OzdemirFN, Pregnancy during hemodialysis: perinatal outcome in our cases. Transplant Proc2004;36:53–5
30.
DemantAW, SchmiedelA, SimulaSM, High-risk dialysis: pregnancy in a patient with extended Stanford-B-aneurysm of the aorta and end-stage renal disease. Nephrol Dial Transplant2004;19:1634–6
31.
GangjiAS, WindrimR, GandhiS, SilvermanJA, ChanCT. Successful pregnancy with nocturnal hemodialysis. Am J Kidney Dis2004;44:912–6
32.
SmithWT, DarbariS, KwanM, O Reilly-GreenC, DevitaMV. Pregnancy in peritoneal dialysis: a case report and review of adequacy and outcomes. Int Urol Nephrol2005;37:145–51
33.
HaaseM, MorgeraS, BambergC, A systematic approach to managing pregnant dialysis patients – the importance of an intensified haemodiafiltration protocol. Nephrol Dial Transplant2005;20:2537–42
34.
HussainS, SavinV, PieringW, TomasiJ, BlumenthalS. Phosphorus-enriched hemodialysis during pregnancy: two case reports. Hemodial Int2005;9:147–52
35.
MoranneO, SamouelianV, LapeyreF, A systematic approach to managing dialysis patients: the importance of an intensified haemodiafiltration protocol. Nephrol Dial Transplant2006;21:1443; author reply 1443
36.
ChouCY, TingIW, HsiehFJ, LeeCN. Haemoperitoneum in a pregnant woman with peritoneal dialysis. Nephrol Dial Transplant2006;21:1454–5
37.
MalikGH, Al-HarbiA, Al-MohayaS, Pregnancy in patients on dialysis – experience at a referral center. J Assoc Physicians India2005;53:937–41
38.
LewSQ. Persistent hemoperitoneum in a pregnant patient receiving peritoneal dialysis. Perit Dial Int2006;26:108–10
39.
TanLK, KanagalingamD, TanHK, ChoongHL. Obstetric outcomes in women with end-stage renal failure requiring renal dialysis. Int J Gynaecol Obstet2006;94:17–22
40.
HaaseM, MorgeraS, BambergC, Successful pregnancies in dialysis patients including those suffering from cystinosis and familial Mediterranean fever. J Nephrol2006;19:677–81
41.
GiofrèF, PuglieseC, AlatiG, MessinaA, TramontanaD. Three successive pregnancies in a patient with chronic renal disease progressing from chronic renal dysfunction through to institution of dialysis during pregnancy and then on to maintenance dialysis. Nephrol Dial Transplant2007;22:1236–40
42.
ShahA, BaileyE, HughesS. Goodpasture's syndrome, haemodialysis and pregnancy. Br J Hosp Med (Lond)2007;68:48–9
43.
BambergC, DiekmannF, HaaseM, Pregnancy on intensified hemodialysis: fetal surveillance and perinatal outcome. Fetal Diagn Ther2007;22:289–93
44.
AltayM, YavuzI, BagdatogluO, DuranayM. Unexpected and late diagnosis (28th week) of pregnancy in a 39-year-old patient on chronic haemodialysis. Nephrol Dial Transplant2007;22:1799
45.
DhirS, FullerJ. Case report: pregnancy in hemodialysis-dependent end-stage renal disease: anesthetic considerations. Can J Anaesth2007;54:556–60
46.
AsgariE, BramhamK, ShehataH, MakanjuolaD. Successful pregnancy in a patient with end-stage renal failure secondary to HIV nephropathy on peritoneal dialysis. Nephrol Dial Transplant2007;22:3671
47.
AltayM, AkayH, ParpucuH, DuranayM, OguzY. A rare case: full-term delivery in a lupus patient on CAPD. Perit Dial Int2007;27:711–2
48.
FerranniniM, VischiniG, MianiN, StaffolaniE, Di DanieleN. Successful pregnancy in a uremic patient treated with single needle hemodialysis. Int J Artif Organs2007;30:1122–5
49.
ChouCY, TingIW, LinTH, LeeCN. Pregnancy in patients on chronic dialysis: a single center experience and combined analysis of reported results. Eur J Obstet Gynecol Reprod Biol2008;136:165–70
50.
BaruaM, HladunewichM, KeunenJ, Successful pregnancies on nocturnal home hemodialysis. Clin J Am Soc Nephrol2008;3:392–6
51.
KhuranaA, NickelAE, GreeneJFJr, NarayananM, HighWA, FoulksCJ. Successful pregnancy in a hemodialysis patient and marked resolution of her nephrogenic systemic fibrosis. Am J Kidney Dis2008;51:e29–32
52.
Al SaranK, SabryA. Pregnancy in dialysis patients: two successful cases from a Saudi renal center and resulting management guidelines. Clin Nephrol2008;70:265–9
53.
NonakaT, KikuchiA, KidoN, Prenatal diagnosis of unilateral pulmonary agenesis in a pregnant woman undergoing chronic hemodialysis due to chronic renal failure. Prenat Diagn2009;29:707–9
54.
SaitoT, UbaraY, SuwabeT, A patient with pregnancy-related acute abdomen after hemodialysis for over 18 years. Clin Nephrol2009;71:345–9
55.
NagotteMP, GrundyHO. Pregnancy outcome in women requiring chronic haemodialysis. Obstet Gynecol1988;72:456–9
56.
HouS. Pregnancy in women on haemodialysis and peritoneal dialysis. Baillieres Clin Obstet Gynaecol1994;8:481
57.
SchneiderKT. Pregnancy-induced hypertension: maternal and fetal hemodynamics. Arch Gynecol Obstet1989;245:240–4
