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Synthesis and Characterization of Multi-Modal Phase-Change Porphyrin Droplets
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Changing Dialysis Modality during Pregnancy: A Case Report.

James Shaw1, Christina Katopodis2, Michelle A Hladunewich3

  • 1Section of Nephrology, Department of Internal Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
|November 11, 2018
PubMed
Summary
This summary is machine-generated.

Pregnancy in patients with end-stage renal disease is rare. Intensified hemodialysis (HD) offers the best outcomes, with a case showing successful transition from peritoneal dialysis (PD) to HD.

Keywords:
End-stage renal diseasedialysis dosehemodialysisperitoneal dialysisuremia

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Area of Science:

  • Nephrology
  • Maternal-Fetal Medicine
  • Reproductive Medicine

Background:

  • Pregnancy in end-stage renal disease (ESRD) patients is uncommon, lacking established management guidelines.
  • Peritoneal dialysis (PD) and hemodialysis (HD) have been used, but optimal protocols remain debated.
  • Intensified, high-dose HD is increasingly linked to superior maternal and fetal outcomes in ESRD pregnancies.

Observation:

  • A 32-year-old Aboriginal female with ESRD became pregnant while on chronic PD.
  • She was transitioned from PD to intensive HD early in her second trimester.
  • The patient underwent a planned cesarean section at 36 weeks gestation.

Findings:

  • The transition from PD to intensive HD resulted in excellent maternal and fetal outcomes.
  • This case supports the use of intensified HD for pregnant ESRD patients.
  • Early conversion from PD to intensive HD may be beneficial.

Implications:

  • This case highlights the potential benefits of intensified HD in managing ESRD pregnancies.
  • It suggests a possible strategy for managing pregnant PD patients.
  • Further research is needed to establish optimal transition timing and protocols for PD to HD conversion in pregnancy.