[Posibility of term pregnancy in patients with chronic kidney disease]

Pregnancy is a physiological process that brings many changes to the mother's body, undergoing a process of adaptation to complications avoid, however, in the context of chronic kidney disease, these become manifest most frequently maternal and fetal impact on morbidity and mortality. A review of the subject is presented, emphasizing aspects that must be present at the time of a patient with this condition, accompanied by one of our cases treated with the sole purpose of gaining a better understanding of the issue and how to address it based on problems at the time of evaluation initial. The case of patient pregnant with chronic kidney disease in stage advanced that required start of replacement therapy in renal function due to uremia and retention fluid in malaise their 20 weeks of gestation, referred late for your attention. However, it was possible to improve you overall condition in all respects, allowing take up to 38 weeks with abdominal delivery via scheduled electively, with favorable results for the newborn exceed the statistics described in these patients.