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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

Pregnancy in patients with end-stage renal disease is rare, with a paucity of management guidelines in the literature. Various hemodialysis (HD) and peritoneal dialysis (PD) protocols have been used to successfully manage pregnancy in this population; however, there is a growing body of evidence that the best maternal and fetal outcomes are associated with intensified, high-dose HD. The optimal timing of transition from PD to HD is not known for prevalent PD patients who become pregnant. We report the case of a 32-year-old aboriginal female who became pregnant while being treated with chronic PD. She was converted to intensive HD early in the second trimester and underwent a planned caesarian section at 36 weeks with excellent outcomes for mother and child.

Keywords:
End-stage renal diseasedialysis dosehemodialysisperitoneal dialysisuremia

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