Pregnancy in Patients with End-Stage Kidney Failure Receiving Program Hemodialysis
There have been analyzed publications of the recent years presenting principles for maintenance of pregnant women with end-stage kidney failure receiving hemodialysis. Owing to advances in technology of renal replacement therapy it allowed to increase fertility in women receiving hemodialysis. Arguments proving a possibility for carrying a pregnancy in patients with end-stage kidney failure receiving hemodialysis are provided. Such patients are needed in performing an individually selected replacement therapy, and daily hemodialysis is the most appropriate mode. Level of hemoglobin, hematocrit must be checked at regular basis in such patients, with early detection of pre-eclampsia and feto-placental insufficiency, carefully monitoring dietary regimen, and providing non-dialysis therapy. Here, we propose a general algorithm for observation and maintenance of pregnant women with end-stage kidney failure receiving hemodialysis.