Fetal diagnosis and therapy · 2007
Pregnancy on intensified hemodialysis: fetal surveillance and perinatal outcome.
СтатьяНазвание и аннотация: Перевод в очереди
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Bamberg Christian, Diekmann Fritz, Haase Michael, Budde Klemens, Hocher Berthold, Halle Horst, Hartung John
Аннотация
OBJECTIVES: To evaluate the effect of intensive fetal surveillance via Doppler ultrasound and fetal non-stress test on the perinatal outcome of pregnant women undergoing an intensified hemofiltration scheme.
METHODS: Five consecutive pregnancies of women undergoing intensified hemodialysis were analyzed due to the following parameters: maternal background, hemodialysis schedule during pregnancy, blood pressure, occurrence of fetal complications, occurrence of obstetric complications, gestational week at delivery, mode of delivery, and newborn outcome and follow-up.
RESULTS: All pregnancies resulted in a live birth, mean gestational age was 32 weeks. Intrauterine growth restriction occurred in 4 fetuses, pathological umbilical artery flow velocity waveforms in 2. The mean birth weight was 1,764 g (range 1,274-2,465 g). Cesarean section was performed in 3 patients because of fetal distress. None of the patients developed severe complications like pre-eclampsia.
CONCLUSIONS: Although intensified dialysis enables the maintenance of stable uteroplacental and fetal perfusion, intensive fetal monitoring is mandatory to reduce perinatal morbidity and mortality in pregnant women on maintenance dialysis.
METHODS: Five consecutive pregnancies of women undergoing intensified hemodialysis were analyzed due to the following parameters: maternal background, hemodialysis schedule during pregnancy, blood pressure, occurrence of fetal complications, occurrence of obstetric complications, gestational week at delivery, mode of delivery, and newborn outcome and follow-up.
RESULTS: All pregnancies resulted in a live birth, mean gestational age was 32 weeks. Intrauterine growth restriction occurred in 4 fetuses, pathological umbilical artery flow velocity waveforms in 2. The mean birth weight was 1,764 g (range 1,274-2,465 g). Cesarean section was performed in 3 patients because of fetal distress. None of the patients developed severe complications like pre-eclampsia.
CONCLUSIONS: Although intensified dialysis enables the maintenance of stable uteroplacental and fetal perfusion, intensive fetal monitoring is mandatory to reduce perinatal morbidity and mortality in pregnant women on maintenance dialysis.
Предметные рубрики MeSH
AdultBirth WeightBlood Flow VelocityCardiotocographyChild, PreschoolFemaleFetal DistressFetal Growth RetardationFollow-Up StudiesGestational AgeHumansInfantKidney Failure, ChronicLaser-Doppler FlowmetryLive BirthPlacental CirculationPolyhydramniosPregnancyPregnancy ComplicationsPrenatal CareRenal DialysisRetrospective StudiesTime FactorsUltrasonography, Prenatal