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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Pregnancy in dialysis patients: a case series | Journal of Medical Case Reports BioMed Central Open Access Pregnancy in dialysis patients a case series Khalid A Al-Saran and Alaa A Sabry Address Prince Salman Center for Kidney Diseases Riyadh Kingdom of Saudi Arabia Email Khalid A Al-Saran - khalid_aln@yahoo.co.uk Alaa ASabry- asabry20@yahoo.com Corresponding author Published 20 January 2008 Received 13 June 2007 Journal of Medical Case Reports 2008 2 10 doi 10.1186 1752-1947-2-10 Accepted 20 January 2008 This article is available from http www.jmedicalcasereports.cOm content 2 l l0 2008 AL-Saran and Sabry licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Fertility is markedly reduced in patients with chronic renal failure. For women with pre-existing renal disease pregnancy is associated with an increased rate of fetal complications and a considerable risk of renal disease progression. Due to substantial improvements in antenatal and neonatal care fetal outcome has improved considerably in the last two decade. A Saudi survey which examined the frequency of pregnancy among women in end stage renal disease ESRD and undergoing regular hemodialysis HD showed an incidence of 7 over a five year period 1.4 per year . This may reflect the cultural endorsement of having offspring. We hereby report 2 cases of successful pregnancy managed at the Prince Salman Center for Kidney Diseases PSCKD . Case presentation Case I A 37 year old Saudi female 8 th gravida with a history of a single 2nd trimester abortion and six living offsprings. The patient was started on regular HD at PSCKD in January 2006. Three months after maintenance hemodialysis she presented with abdominal distension and 4 weeks history of amenorrhea. She was found to be pregnant after measurement of serum HCG .
