Abstract
We know that we have to be wary of waxing too enthusiastic about a report on seven pregnancies in 5 women, but the article by Barua et al . in this issue of CJASN is the most encouraging report I have seen since the first time I started a pregnant woman on dialysis in 1984 and since the first successful pregnancy in a dialysis patient reported in 1971 (1). In 1984, our information on pregnancy in dialysis patients was based on a report from the European Dialysis and Transplant Association, which recorded surviving infants in 22.9% of pregnant dialysis patients (excluding therapeutic abortions) (2). For a brief period in the 1980s, we believed that continuous ambulatory peritoneal dialysis might lead to better outcome in pregnant dialysis patients (3), but the difference was based on the inclusion of women who started dialysis after conception and the European Dialysis and Transplant Association report as a discouraging historical control. Data from the Registry of Pregnancy in …
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