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J. Korean Med. Sci. · Feb 2014
Case ReportsSuccessful pregnancy in a patient with autosomal dominant polycystic kidney disease on long-term hemodialysis.
- Ji Hye Jung, Min Jeong Kim, Hye Jin Lim, Su-Ah Sung, So-Young Lee, Dae Woon Kim, Kyu Beck Lee, and Young-Hwan Hwang.
- Department of Internal Medicine, Eulji General Hospital, Seoul, Korea.
- J. Korean Med. Sci. 2014 Feb 1; 29 (2): 301-4.
AbstractRecent advances in dialysis and a multidisciplinary approach to pregnant patients with advanced chronic kidney disease provide a better outcome. A 38-yr-old female with autosomal dominant polycystic kidney disease (ADPKD) became pregnant. She was undergoing hemodialysis (HD) and her kidneys were massively enlarged, posing a risk of intrauterine fetal growth restriction. By means of intensive HD and optimal management of anemia, pregnancy was successfully maintained until vaginal delivery at 34.5 weeks of gestation. We discuss the special considerations involved in managing our patient with regard to the underlying ADPKD and its influence on pregnancy.
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