22 feb. PREGNANCY IN PACIENTS ON HEMODIALYSIS FOR END STAGE RENAL DISEASE. REVIEW OF THE LITERATURE AND CASE REPORT
Elena Cocîrţă*, Gh.Peltecu*, **, Anca Maria Panaitescu*, **
* University of Medicine and Pharmacy Târgu Mureş
** University of Medicine and Pharmacy Carol Davila, Bucharest
Rezumat: Sarcina la pacientele cu hemodializă pentru boală renală in stadiu terminal.
Revederea literaturii si prezentare de caz.
Sarcina la femeile care fac hemodializă (HD) pentru boală renală in stadiu terminal (BRST) reprezintă o condiţie dificilă si provocatoare atat pentru obstetrician, cat si pentru mamă si făt. In ultimii ani au fost realizate progrese importante in conduita acestor paciente urmate de ameliorarea evoluţiei lor. Desi riscurile materne si fetale sunt majore si prematuritatea este regula, numărul feţilor care supravieţuiesc a crescut semnificativ in ultimii ani. Scopul acestui articol este de a prezenta ultimile recomandări referitoare la diagnosticul, conduita si urmărirea sarcinilor la femeile cu hemodializa pentru BRST.
Abstract:
Pregnancy in women receiving hemodialysis (HD) for end stage renal disease (ESRD) is a difficult and challenging condition for both obstetrician, mother and fetus. In the last years, important improvements have been made in the management of this patients with better outcome, for both mother and fetus. Although the maternal and fetal risks are higher and the prematurity is the rule, the number of fetal survival has significantly increased in recent years. The aim of this article is to present the latest recommendations regarding the diagnosis, management and follow up of pregnancies in women receiving HD for ESRD.
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