The Japanese Journal of Clinical Dialysis Vol.21 No.13(2-2)

Theme Nutritional Management of Patients with Renal Failure -- Suitable for Ages and Clinical Conditions
Title Proper nutritional therapy for pregnant dialysis patients
Publish Date 2005/12
Author Terukuni Ideura Department of Internal Medicine, Showa University Fujigaoka Hospital
[ Summary ] Although the number of successful pregnancies in dialysis patients has increased, it is uncommon for dialysis to become pregnant. Therefore, few hospitals have enough experience to make decisions on conception or to develop adequate care for patients who do become pregnant. Consequently, few studies on the untritional care of pregnant dialysis patients have been reported on. In addition, the guidelines for dietary treatment of regular non-pregnant dialysis patients have not been established. However, it is generally accepted that pregnant women receiving dialysis can usually be prescribed more liberal diets because of the increased frequency of dialysis treatment usually prescribed such as 1.2 g / kgBW / day for hemodialysis and 1.4 g / kgBW / day for peritoneal dialysis. Recomended energy requirements are as 35 - 40 kcal / kgBW / day. The adequate requirement of salt is 5 - 8 g / day, phosphate is 1,200 mg / day and calcium 1,200 mg / day. The majority of vitamins needed can be provided by supplements which should be provided on an individualized basis.
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