An unexpected pregnancy causes poor drainage in automated peritoneal dialysis
Journal
Nephrology Dialysis Transplantation
Journal Volume
11
Journal Issue
11
Pages
2335-2337
Date Issued
1996
Author(s)
Abstract
IntroductionPregnancy is a rare occurrenc ien maintenance dialysisfemales, wit ahn estimated incidenc of aroune d 1.5 %in a 2-year cohor [1] Obstetri.t c complication are sfrequent in dialysis patients, including polyhydramnios,preterm labour, intra-uterine growth retardation, fetaldistress, anaemia, hypertension, abruptio placentaeand spontaneous abortio [2]. nTheoretically, continuous ambulatory peritonea dial -lysis (CAPD ha) s potentia l advantage for ths fetuse ,i.e. a more constant biochemical environment, easycontrol of hypertension, infrequent hypotensive epis-odes, avoidance of heparin use, an d higher haematocritlevels [3] CAP. D wa thoughs tto be successfu a lsupplemental therap fo severyr e renal insufficiencyoccurring during pregnanc [4,5] Therefor.y e someauthors advise CAPD instea od f haemodialysis as renalreplacement therapy whenever pregnanc [6]. y occursHowever, experience o f peritoneal dialysis during preg-nancy is still limited and n, standardizeo d guid of eoptimal managemen is availablet .Systemic lupus erythematosus (SLE) is an additionalproblem when managing pregnancy. Lupus activityflare-up, renal function deterioration, preterm labourand fetal los are potentias l problem [7] Onl. sy onecase of SLE o CAPn D deliverin a prematureg , smallfor gestatio agne baby was reported in th literaturee .We repor at successful pregnanc iny a occurringpatient with end-stage lupus nephriti os maintainen dautomated peritonea Thl dialysis managemene o.ftpregnancy in such a case is discussed.Case reportA 39-year-old femal hae patiend SLE Initia.t l mani-festations were joint pain, malar rash, oral ulcer,photosensitivity, alopeci an higad ANh A an antid -dsDNA titre, beginnin in 1988g . Nephrotic syndrome
SDGs
Publisher
Oxford University Press
Type
journal article