We currently have a patient that is 5 months pregnant and I would like to know what experiences anyone may have had with taking care of a dialysis patient that is pregnant. Do you know where I might go for information?

Marion,

Here is a partial reference list:

Pregnancy in women receiving renal dialysis or transplantation in Japan: a nationwide survey. Abstract by Toma H, Tanabe K, Tokumoto T, Kobayashi C, Yagisawa T from Nephrol Dial Transplant 1999 Jun;14(6):1511-6

Dialysis and pregnancy--a case report and review of the literature. Abstract by Reister F, Reister B, Heyl W, Riehl J, Schroder W, Mann H, Rath W from Ren Fail 1999 Sep;21(5):533-9

Perinatal and infant outcome of pregnant patients undergoing chronic hemodialysis.
Abstract by Nakabayashi M, Adachi T, Itoh S, Kobayashi M, Mishina J, Nishida H from Nephron 1999;82(1):27-31

Pregnancy in chronic renal insufficiency and end-stage renal disease. Abstract by Hou S from Am J Kidney Dis 1999 Feb;33(2):235-52

The abstracts will provide a quick overview of the current issues.

Deborah


[This message has been edited by Deborah Brouwer (edited 07-20-2000).]

quote:

Originally posted by Marion Church:
We currently have a patient that is 5 months pregnant and I would like to know what experiences anyone may have had with taking care of a dialysis patient that is pregnant. Do you know where I might go for information?

Hi, Marion. We recently had a pregnant patient on dialysis. We found the critline monitor invaluable in fluid management because it is very important to keep the patient in positive balance. In-line diagnostics dedicated a machine for us to use on this patient. We just paid for the special tubing device that goes with the procedure each treatment. Another tip to reduce the chance for hypotension is to have the patient lie on her side during treatment so there is no pressure on the inferior vena cava therefore enhancing blood return. Lots more info available if you are interested. Contact me at cindyingalls@aol.com.




[Note: This message has been edited by Deborah Brouwer]

Bravo Critline ! That was a really nice thing to do.

Hope Mom and baby are doing well !