[Pregnancy in chronic hemodialysis]

Two successful pregnancies in our dialysis center bring us an opportunity to update the related treatment. The success rate of this rare event is more than 30% at the moment. Maternal morbidity is reduced through close follow up. From the second semester, it is necessary to adapt and intensify dialysis, which becomes daily. At the third quarter, full-time hospitalization, extended to a high risk pregnancy unit at first incident, must be provided. Delivery may be normal. The infant is not particularly at risk for malformation, but is 30 to 35 weeks premature; at short time, its psychomotor development seems normal. To our sense, to influence systematically on women a "voluntary" therapeutic pregnancy interruption might be qualified if, when duly informed, women wish to try and keep their child.