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>Journals >Cirugía y Cirujanos >Year 2010, Issue 1


Vázquez-Rodríguez JG
Hemodiálisis y embarazo: aspectos técnicos
Cir Cir 2010; 78 (1)

Language: Español
References: 22
Page: 99-102
PDF: 219.84 Kb.


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ABSTRACT

Hemodialysis is the gold standard for substitution of renal function in women with chronic or acute renal insufficiency during pregnancy or the postpartum period. Perinatal complications are frequent. Recognition of appropriate techniques in medical treatment of patients will contribute to decrease its incidence and allow better perinatal results. We undertook this study to review the techniques and medical indications of hemodialysis in pregnant and postpartum patients. This condition requires care in a high-specialty medical center. We recommend incremental increases in intensity and frequency and duration of treatments, use of equipment to manage fluctuations in blood and dialysis fluids, new filters, microdose of heparin and limiting ultrafiltration to avoid hemodynamic, electrolytic, and metabolic alterations, obstetrical hemorrhage or premature delivery. The objective is to maintain a satisfactory clinical status and maternal blood, urea, nitrogen (BUN) levels ≤80 mg/dl and creatinine 5-7 mg/dl for opportune fetal development and birth. Routine pharmacological treatment should continually be individually adjusted as to number of medications and dosage. Recognition of hemodialysis techniques and indications will contribute to obtaining improved perinatal results.


Key words: Hemodialysis, pregnancy.


REFERENCIAS

  1. Dixon JC, Kinney GA, Block C, Daley V. Chronic kidney disease and dialysis management in a pregnant woman. Dial Transplant 2006;15:372-374, 391.

  2. Abe S. An overview of pregnancy in women with underlying renal disease. Am J Kidney Dis 1991;17:112-115.

  3. Confortini P, Galanti P, Ancona G, Giongio A, Bruschi E, Lorenzini E. Full term pregnancy and successful delivery in a patient on chronic hemodialysis. Proc Eur Dial Transplant Assoc 1971;8:74-80.

  4. Holley JL, Reddy SS. Pregnancy in dialysis patients: a review of outcomes, complications and management. Semin Dial 2003;16:384-387.

  5. Ramiro HM, Lifshitz GA, Halabe CJ, Frati MAC. El internista: medicina interna para internistas. Tomo I. México: Colegio de Medicina Interna de México; 2008. p. 559.

  6. Nissenson AR, Fine RN. Dialysis Therapy. Philadelphia: CV Mosby; 1986. pp. 1-3.

  7. Jungers P, Chauveau D. Pregnancy and renal disease. Kidney Int 1997;52:871-885.

  8. Giatras I, Levy DP, Maloas FD, Carson JA, Jungers P. Pregnancy during dialysis: case report and management guidelines. Nephrol Dial Transplant 1998;13:3266-3272.

  9. Souqiyyeh MZ, Huraib SO, Mohd AG, Aswad S. Pregnancy in chronic hemodialysis patients in the kingdom of Saudi Arabia. Am J Kidney Dis 1992;19:235-238.

  10. Hou S. Pregnancy in chronic insufficiency and end-stage renal disease. Am J Kidney Dis 1999;33:235-252.

  11. Ramin S, Vidaeff A, Yeomans E, Gilstrap L. Chronic renal disease in pregnancy. Obstet Gynecol 2006;108:1531-1539.

  12. Schaefer R, Kokot R, Heidland A. Improved sexual function in uremics on erythropoietin. A possible role for prolactin. Kidney Int 1989;35:263.

  13. Hou S, Firanek C. Management of the pregnant dialysis patient. Adv Ren Replacement Ther 1998;5:24-30.

  14. Ginsberg JS, Kowalchuk G, Hirsh J, Brill-Edwards PB, Burrows R. Heparin therapy during pregnancy. Arch Intern Med 1989;149:2233-2236.

  15. Briggs GG, Freeman RK, Yaffe SJ, eds. Drugs in Pregnancy and Lactation. Baltimore: Williams & Wilkins; 1994. pp. 423-427.

  16. Blowey DL, Warady BA. Neonatal outcome in pregnancies associated with renal replacement therapy. Adv Ren Replacement Ther 1998;5:45-52.

  17. Brookhyser J, Wiggins L. Medical nutrition therapy in pregnancy and kidney disease. Adv Ren Replacement Ther 1998;5:53-63.

  18. Hou SH, Orlowski J, Pahl M, Ambrose S, Hussey M, Wong D. Pregnancy in women with end-stage renal disease: treatment of anemia and premature labor. Am J Kidney Dis 1993;21:16-22.

  19. Amoah E, Arab H. Pregnancy in a hemodialysis patient with no residual renal function. Am J Kidney Dis 1991;5:585-597.

  20. Vidaelf AC, Carroli MA, Ramin SM. Acute hypertensive emergencies in pregnancy. Crit Care Med 2005;33(10 suppl):S307-S312.

  21. Zeeman GG. Obstetric critical care: a blueprint for improved outcomes. Crit Care Med 2006;34(suppl 9):S208-S214.

  22. Vázquez RJG. Lesión renal crónica por preeclampsia-eclampsia. Nefrol Mex 2007;28:116-120.






>Journals >Cirugía y Cirujanos >Year 2010, Issue 1
 

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