Late discovery of pregnancy in an advanced age dialytic patient: case report

Abstract

Pregnancy in dialysis women still has a low prevalence due to possible complications resulting from the evolution of chronic kidney disease. However, recent outcomes have shown an advance in the continuity of pregnancy increasing the chances of renal dialysis patients completing the gestational process. Among the care for a pregnant woman on dialysis, strict control of the urea value, monitoring of anemia, blood pressure levels, balanced nutrition, metabolic control, and electrolyte changes are the main determinants of preventing complications in this disease. Monitoring fetal growth, when pregnancy is known, is necessary. When pregnancies arise from patients undergoing renal replacement therapy, the obstacles are greater for the mother as well as for the fetus, making it essential to bring the nephrological team closer to the obstetrician and pediatrician. This report addresses the experience of a multidisciplinary team directed to a woman of advanced age and undergoing dialysis, reporting the discovery of a late pregnancy of 29 weeks and the unfolding of its evolution given the peculiarity of this morbid condition.