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Pregnancy and peritoneal dialysis: an updated review

Women who conceive while receiving peritoneal dialysis (PD) are at a high risk of encountering maternal and fetal complications. Although the occurrence of successful pregnancies in women with end-stage renal disease undergoing PD is becoming more common with advancing dialysis technology, women in...

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Manylion Llyfryddiaeth
Prif Awduron: Thiam, Christopher Seong Lim, Fuah, Kar Wah
Fformat: Erthygl
Iaith:English
Cyhoeddwyd: European Medical Journal 2018
Mynediad Ar-lein:http://psasir.upm.edu.my/id/eprint/73599/1/Pregnancy%20and%20peritoneal%20dialysis.pdf
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id oai:psasir.upm.edu.my:73599
record_format eprints
spelling oai:psasir.upm.edu.my:73599 http://psasir.upm.edu.my/id/eprint/73599/ Pregnancy and peritoneal dialysis: an updated review Thiam, Christopher Seong Lim Fuah, Kar Wah Women who conceive while receiving peritoneal dialysis (PD) are at a high risk of encountering maternal and fetal complications. Although the occurrence of successful pregnancies in women with end-stage renal disease undergoing PD is becoming more common with advancing dialysis technology, women in this population must be monitored by a team of dedicated renal physicians and obstetric teams to ensure the best maternal and fetal outcomes are achieved. Given the haemodynamic advantages of PD over haemodialysis in pregnancy, PD therapy is the favoured renal replacement option in pregnant women with end-stage renal disease. This is particularly true when PD is initiated after conception or if pregnancy occurs within 1 year of starting PD. The management of anaemia, hypertension, dry weight adjustment, and dialysis regimen in a pregnant PD patient will undergo continuous adjustment to maintain haemodynamic and physiologic stability to meet the demands of the pregnancy-associated changes. In this article, the incidence and management of fetal and maternal complications and pregnancy outcomes in women receiving PD are reviewed based on the latest literature available. European Medical Journal 2018-07 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/73599/1/Pregnancy%20and%20peritoneal%20dialysis.pdf Thiam, Christopher Seong Lim and Fuah, Kar Wah (2018) Pregnancy and peritoneal dialysis: an updated review. European Medical Journal Nephrology, 6 (1). 74 - 84. ISSN 2054-4529 https://www.emjreviews.com/nephrology/article/pregnancy-and-peritoneal-dialysis-an-updated-review/
institution UPM IR
collection UPM IR
language English
description Women who conceive while receiving peritoneal dialysis (PD) are at a high risk of encountering maternal and fetal complications. Although the occurrence of successful pregnancies in women with end-stage renal disease undergoing PD is becoming more common with advancing dialysis technology, women in this population must be monitored by a team of dedicated renal physicians and obstetric teams to ensure the best maternal and fetal outcomes are achieved. Given the haemodynamic advantages of PD over haemodialysis in pregnancy, PD therapy is the favoured renal replacement option in pregnant women with end-stage renal disease. This is particularly true when PD is initiated after conception or if pregnancy occurs within 1 year of starting PD. The management of anaemia, hypertension, dry weight adjustment, and dialysis regimen in a pregnant PD patient will undergo continuous adjustment to maintain haemodynamic and physiologic stability to meet the demands of the pregnancy-associated changes. In this article, the incidence and management of fetal and maternal complications and pregnancy outcomes in women receiving PD are reviewed based on the latest literature available.
format Article
author Thiam, Christopher Seong Lim
Fuah, Kar Wah
spellingShingle Thiam, Christopher Seong Lim
Fuah, Kar Wah
Pregnancy and peritoneal dialysis: an updated review
author_facet Thiam, Christopher Seong Lim
Fuah, Kar Wah
author_sort Thiam, Christopher Seong Lim
title Pregnancy and peritoneal dialysis: an updated review
title_short Pregnancy and peritoneal dialysis: an updated review
title_full Pregnancy and peritoneal dialysis: an updated review
title_fullStr Pregnancy and peritoneal dialysis: an updated review
title_full_unstemmed Pregnancy and peritoneal dialysis: an updated review
title_sort pregnancy and peritoneal dialysis: an updated review
publisher European Medical Journal
publishDate 2018
url http://psasir.upm.edu.my/id/eprint/73599/1/Pregnancy%20and%20peritoneal%20dialysis.pdf
_version_ 1819299107167010816
score 13.4562235

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