Pregnancy in Chronic Kidney Disease
Abstract
:1. Introduction
2. CKD and Pregnancy
3. Dialysis and Pregnancy
3.1. Hemodialysis for Pregnancy Maintenance
3.2. Peritoneal Dialysis for Pregnancy Maintenance
4. Pregnancy in Kidney Transplant Recipients
5. Pregnancy-Related Problems
5.1. Hypertension
5.2. Anemia
5.3. Mineral Bone Disease
6. Nutrition
7. Obstetric Outcomes and Fetal Care
8. Conclusions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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HD Prescription during Pregnancy | |
---|---|
Frequency | 5–6 time/week |
Duration of dialysis | >36 h/week (>6 h/day) |
Dry weight | Increase by 0.5 kg/week during the second and third trimesters |
UF rate | 6–8 mL/kg/h |
Dialysate | K = 3 mmol/L, Ca = 1.5 mmol/L, HCO3 = 28–32 mmol/L |
Anticoagulation | Low-dose unfractionated heparin |
Blood pressure | Target blood pressure <140/80 Do not use Ace-I, ARB. |
Anemia | Hgb = 10–11 gr/dL Hct = 30–35% Ferritin = 200–300 µg/mL |
MBD | Ca supplementation 1.5–2 g/day Do not use sevelamer, lanthanum, aluminum, cinacalcet, or paricalcitol |
Nutrition | Protein intake: 1.8 g/pre-pregnancy weight/day + 20 g/day Calories: 25–35 kcal/kg pregnant weight/day |
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Shehaj, L.; Kazancıoğlu, R. Pregnancy in Chronic Kidney Disease. Kidney Dial. 2023, 3, 152-162. https://doi.org/10.3390/kidneydial3020013
Shehaj L, Kazancıoğlu R. Pregnancy in Chronic Kidney Disease. Kidney and Dialysis. 2023; 3(2):152-162. https://doi.org/10.3390/kidneydial3020013
Chicago/Turabian StyleShehaj, Larisa, and Rümeyza Kazancıoğlu. 2023. "Pregnancy in Chronic Kidney Disease" Kidney and Dialysis 3, no. 2: 152-162. https://doi.org/10.3390/kidneydial3020013