Registry of pregnancy in dialysis patients

摘要: A total of 2,299 dialysis units listed by the Health Care Finance Administration were surveyed to determine frequency and course pregnancies in patients. The responses included 930 caring for 6,230 females aged 14 44 years (1,699 receiving peritoneal 4,531 hemodialysis). Two percent female patients childbearing age became pregnant over a 4-year period (2.4% hemodialysis 1.1% patients). infant survival rate was 40.2% 184 women who conceived after starting 73.6% 57 started conception. In subset whom modality known, not significantly different between (39.5% v 37%). There trend toward better received > or = 20 hours per week weak correlation number gestational (P 0.05). Maternal complications two maternal deaths five intensive care unit admissions hypertensive crisis. Seventy-nine had some degree hypertension, 32 blood pressure higher than 170/110 mm Hg. Only 5.9% hematocrit greater 30% throughout pregnancy. Twenty-six treated with erythropoietin (EPO) 77% EPO required transfusions. Eleven infants congenital anomalies 11 long-term medical problems. Eighty-four born premature. likelihood surviving resulting from pregnancy is previously observed. no preferred modality. suggestion that increased time may improve outcome. Prematurity remains major cause morbidity likely contributes high problems infants.