Abstract
Despite strong evidence suggesting that peritoneal dialysis (PD) is a comparable technique to long-hour hemodialysis (HD) for pregnant patients (11,12), few cases are described in the current literature. Moreover, initiating PD in a pregnant woman needing extrarenal epuration is rarely described if at all.
 In this article, we present two cases of patients who initiated PD while being already multiple month pregnant: the first one 14 years ago and the other today.
 Our two patients are in their thirties, are respectively 16 and 10 weeks pregnant and have a history of anti-phospholipids syndrome. It was decided to start a PD program with both of them. Our first patient gave birth to a healthy 2.5 kg and 45 cm daughter despite an episode of peritonitis and the freeing of the peritoneal catheter from adherences. Our second patient is currently on dialysis without complications and is now 28 weeks pregnant with a healthy monitored child.
 Initiating PD in a pregnant patient is a subject that has not yet been published in the current scientific literature. With higher pregnancy rates than ever in the end stage renal disease population (31), we suggest to assess the objective benefits of PD extrarenal epuration method by performing a prospective comparative study between PD and HD.
Highlights
Les femmes enceintes en insuffisance rénale terminale (IRT) sont pour la plupart prises en charge en hémodialyse (HD) mais la littérature médicale contient de rares cas de telles patientes traitées par dialyse péritonéale (DP)
Notre chirurgien a mis en place un cathéter de DP et les premiers échanges dialytiques avec du Physioneal 40 1,36 % glucose ont débuté à la 23ème semaine de grossesse : d’abord 3 x 500 ml sur 12 h en mode dialyse péritonéale continue ambulatoire (DPCA) puis DPA 3 cycles sur 6 h, interrompu après 5 jours pour inconfort pelvien
Bien sûr certaines données n’y étaient pas analysées comme la fonction rénale résiduelle, la fréquence ou la durée du traitement
Summary
Despite strong evidence suggesting that peritoneal dialysis (PD) is a comparable technique to long-hour hemodialysis (HD) for pregnant patients [11,12], few cases are described in the current literature. Initiating PD in a pregnant woman needing extrarenal epuration is rarely described if at all. Our two patients are in their thirties, are respectively 16 and 10 weeks pregnant and have a history of anti-phospholipids syndrome. Our second patient is currently on dialysis without complications and is 28 weeks pregnant with a healthy monitored child. Initiating PD in a pregnant patient is a subject that has not yet been published in the current scientific literature. Key words : Anti-phospholipid; Female; Kidney Failure; Peritoneal Dialysis; Pregnancy
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