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Clin Kidney J. 2015 Jun;8(3):293-9. doi: 10.1093/ckj/sfv016. Epub 2015 Mar 19.

Pregnancy in end-stage renal disease patients on dialysis: how to achieve a successful delivery.

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Department of Nephrology , "A. Perrino" Hospital of Brindisi and "D. Camberlingo" Hospital , Francavilla Fontana , Italy.
Gynecology and Obstetrics Unit , "D. Camberlingo" Hospital , Francavilla Fontana , Italy.
Nephrology and Dialysis Unit , "D. Camberlingo" Hospital , Francavilla Fontana , Italy.
Nephrology and Dialysis Unit , "A. Perrino" Hospital , Brindisi , Italy.


Pregnancy in women with chronic kidney disease has always been considered as a challenging event both for the mother and the fetus. Over the years, several improvements have been achieved in the outcome of pregnant chronic renal patients with increasing rates of successful deliveries. To date, evidence suggests that the stage of renal failure is the main predictive factor of worsening residual kidney function and complications in pregnant women. Moreover, the possibility of success of the pregnancy depends on adequate depurative and pharmacological strategies in patients with end-stage renal disease. In this paper, we propose a review of the current literature about this topic presenting our experience as well.


ESRD; delivery; haemodialysis; live birth; pregnancy

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