| Theme | Characteristic Problems in Managing Female Dialysis Patients | |
|---|---|---|
| Title | Pregnancy and delivery in patients receiving hemodialysis | |
| Publish Date | 2003/07 | |
| Author | Shigeko Takatsu | Department of Medicine, Saiwaicho-Kinen Hospital |
| Author | Masashi Miyazaki | Department of Surgery, Saiwaicho-Kinen Hospital |
| Author | Masanobu Maruyama | Department of Gastroenterological Surgery, Transplant, and Surgical Oncology, Okayama University Graduate School of Medicine and Dentistry |
| Author | Yoshinari Oka | Department of Surgery, Saiwaicho-Kinen Hospital |
| Author | Yoshiaki Kokumai | Department of Surgery, Saiwaicho-Kinen Hospital |
| Author | Keiichi Kunitomo | Department of Surgery, Saiwaicho-Kinen Hospital |
| [ Summary ] | 61 cases related to delivery in patients receiving hemodialysis have been reported, since the first successful case related to pregnancy and delivery of this type of patient in Japan was first reported in 1978. Although 10 out of 61 babies were dead, in 36 cases who delivered after 1990, 2 newborn were dead and 5 (cases) including of 3 infirtility therapy cases, were performed planned pregnancy and delivery. The conditions for successful management are as follows; 1) sufficient hemodialysis, 2) improvements in anemia, 3) control of dry weight, 4) countermeasures for complications such as (1) hypertension, (2) hemorrhaging, (3) abortion and/or premature birth. At this time, pregnancy and delivery in hemodialysis patients are not always considered impossible, and the there tends to be a positive outcome for the babies. From this time, it is to be desired that hemodialysis patients who wish to have a baby will deliver after a well planned pregnancy. |
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