Embarazo en hemodiálisis crónica: experiencia de un Hospital Universitario
PREGNANCY DURING CHRONIC HEMODIALYSIS. A SERIES OF CASES
| dc.contributor | es-ES | |
| dc.contributor | en-US | |
| dc.creator | Fiedler Z, Ursula; Hospital Clínico Universidad de Chile | |
| dc.creator | Sanhueza V, Ma Eugenia; Hospital clínico Universidad de Chile | |
| dc.creator | Toro C, Luis; Hospital Clínico Universidad de Chile | |
| dc.date | 2019-05-07 | |
| dc.date.accessioned | 2019-11-11T18:26:46Z | |
| dc.date.available | 2019-11-11T18:26:46Z | |
| dc.identifier | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/7122 | |
| dc.identifier.uri | https://revistaschilenas.uchile.cl/handle/2250/110817 | |
| dc.description | Background: Pregnancies in women with end stage renal failure are uncommon. However, correction of anemia and improvement in dialysis techniques increases the rate of successful pregnancies. Aim: To describe a 16 years’ experience treating pregnant women on hemodialysis and to analyze maternal-fetal outcomes. Materials and methods: Observational study of a dialysis center historical cohort in a university hospital, between 2001 and 2016. Results: Thirteen pregnancies were found in 11 women aged 23 to 32 years, 77% on dialysis prior to pregnancy. Residual diuresis was 1300 [625-1575] mL in 24 hrs. The baseline hemoglobin was 9.0 [7.6-9.9] gr /dL and 92% of patients did not use contraception. The pre-dialysis blood urea nitrogen was 34 [29-36] mg /dL. An ultrasound to confirm pregnancy was done in all. At 23 [14-25] weeks of pregnancy, dialysis hours were increased, reaching 24 [19.5-24.0] hours per week. The most common complications were severe arterial hypertension (54%), severe anemia (46%), polyhydramnios (31%) and severe intrauterine growth retardation (IUGR) (23%). The median time of pregnancy at delivery was 34 [29-34] weeks. Neonatal median hospitalization length was 4 [4-32] days, with 18% of neonatal deaths. Conclusions: Pregnancies in dialysis are no longer exceptional. Despite better maternal and fetal outcomes, morbidity and mortality remains higher than in the normal population, which makes multidisciplinary management essential. | es-ES |
| dc.description | Background: Pregnancies in women with end stage renal failure are uncommon. However, correction of anemia and improvement in dialysis techniques increases the rate of successful pregnancies. Aim: To describe a 16 years’ experience treating pregnant women on hemodialysis and to analyze maternal-fetal outcomes. Materials and methods: Observational study of a dialysis center historical cohort in a university hospital, between 2001 and 2016. Results: Thirteen pregnancies were found in 11 women aged 23 to 32 years, 77% on dialysis prior to pregnancy. Residual diuresis was 1300 [625-1575] mL in 24 hrs. The baseline hemoglobin was 9.0 [7.6-9.9] gr /dL and 92% of patients did not use contraception. The pre-dialysis blood urea nitrogen was 34 [29-36] mg /dL. An ultrasound to confirm pregnancy was done in all. At 23 [14-25] weeks of pregnancy, dialysis hours were increased, reaching 24 [19.5-24.0] hours per week. The most common complications were severe arterial hypertension (54%), severe anemia (46%), polyhydramnios (31%) and severe intrauterine growth retardation (IUGR) (23%). The median time of pregnancy at delivery was 34 [29-34] weeks. Neonatal median hospitalization length was 4 [4-32] days, with 18% of neonatal deaths. Conclusions: Pregnancies in dialysis are no longer exceptional. Despite better maternal and fetal outcomes, morbidity and mortality remains higher than in the normal population, which makes multidisciplinary management essential. | en-US |
| dc.format | application/pdf | |
| dc.language | spa | |
| dc.publisher | Revista Médica de Chile | es-ES |
| dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/7122/5003 | |
| dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/7122/37637 | |
| dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/7122/37896 | |
| dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/7122/37949 | |
| dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/7122/37950 | |
| dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/7122/37951 | |
| dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/7122/40153 | |
| dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/7122/40154 | |
| dc.relation | http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/7122/41526 | |
| dc.source | Revista Médica de Chile; Vol. 147, núm. 6 (2019): JUNIO 2019 | es-ES |
| dc.source | 0034-9887 | |
| dc.subject | Kidney Failure, Chronic; Pregnancy; Renal Dialysis | es-ES |
| dc.subject | Kidney Failure, Chronic; Pregnancy; Renal Dialysis | en-US |
| dc.title | Embarazo en hemodiálisis crónica: experiencia de un Hospital Universitario | es-ES |
| dc.title | PREGNANCY DURING CHRONIC HEMODIALYSIS. A SERIES OF CASES | en-US |
| dc.type | info:eu-repo/semantics/article | |
| dc.type | info:eu-repo/semantics/publishedVersion | |
| dc.type | es-ES |