A rare full-term delivery in a chronic peritoneal dialysis patient

Abstract

We aimed to report the case of a 37 years old woman, caucasian, who got pregnant after seven months of dialysis initiation and had a full-term weeks successful delivery. We also reviewed and presented the reported cases of peritoneal dialysis pregnancies in the last 6 years. The patient started renal replacement therapy due to focal segmental glomerulosclerosis and chronic tubular nephritis. In the same year, she got pregnant and started pre-maternal care in the high-risk pregnancy program. Peritoneal dialysis prescription was adjusted according to the patient’s tolerance and laboratory parameters. No complications occurred during the first and second trimester. In the first quarter of the third trimester, an antihypertensive drug was initiated for maintenance of blood pressure. She delivered a healthy baby via spontaneous vaginal at 39 weeks. Birth was induced due to the advanced pregnancy time and the risk of worsening arterial pressure. Our experience showed that peritoneal dialysis is a viable option during pregnancy according to the patient's residual renal function and promotes a successful pregnancy period with the correct adaptations on peritoneal dialysis prescription. Collaboration and support amongst family, nephrologist and gynecologist doctors, multidisciplinary team and the patient are crucial to ensure treatment quality and successful outcomes.