Pregnancy and dialysis

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