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[Pregnancy in chronic hemodialysis]
1Service de néphrologie-dialyse, Centre hospitalier Alfred Isautler, Saint-Pierre La Réunion.
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.
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.