Next Article in Journal
Women—An Open Access Journal
Previous Article in Journal
Care for Women with Delusional Disorder: Towards a Specialized Approach
Review

Dialysis on Pregnancy: An Overview

Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, 00185 Rome, Italy
*
Author to whom correspondence should be addressed.
Received: 29 December 2020 / Revised: 15 January 2021 / Accepted: 25 January 2021 / Published: 29 January 2021
Pregnancy rates in women on dialysis have increased in the last decades, thus making it a topic of growing interest. The rarity of this event is predominantly due to fertility problems and to the high rates of pregnancy failure including stillbirth, fetal, and neonatal deaths. We conducted a narrative review of existing literature in order to analyze the major issues about pregnancy on dialysis to give the reader a fully updated perspective about this topic which, even if not common, is becoming more and more frequent. Even if recently acquired knowledge has improved diagnosis and treatment of dialysis pregnancies focusing on several aspects, pregnancy on dialysis remains a great challenge for obstetricians and should be managed by a multidisciplinary expertise team. Dialysis in pregnancy may be necessary for women previously affected by end stage renal disease (ESRD) becoming pregnant, or in case of acute renal injury presenting for the first time during gestation or, again, in case of existent renal pathology worsening during pregnancy and requiring dialysis. Although some evidence suggests that more intensive dialysis regimens are correlated with better obstetric outcomes, the optimal therapeutic protocol still remains to be established. View Full-Text
Keywords: dialysis in pregnancy; end stage renal disease; hemodialysis; peritoneal dialysis; intensive dialysis regimen; preeclampsia dialysis in pregnancy; end stage renal disease; hemodialysis; peritoneal dialysis; intensive dialysis regimen; preeclampsia
MDPI and ACS Style

Bruno Vecchio, R.C.; Del Negro, V.; Savastano, G.; Porpora, M.G.; Piccioni, M.G. Dialysis on Pregnancy: An Overview. Women 2021, 1, 60-69. https://0-doi-org.brum.beds.ac.uk/10.3390/women1010005

AMA Style

Bruno Vecchio RC, Del Negro V, Savastano G, Porpora MG, Piccioni MG. Dialysis on Pregnancy: An Overview. Women. 2021; 1(1):60-69. https://0-doi-org.brum.beds.ac.uk/10.3390/women1010005

Chicago/Turabian Style

Bruno Vecchio, Roberta C., Valentina Del Negro, Giovanna Savastano, Maria G. Porpora, and Maria G. Piccioni 2021. "Dialysis on Pregnancy: An Overview" Women 1, no. 1: 60-69. https://0-doi-org.brum.beds.ac.uk/10.3390/women1010005

Find Other Styles

Article Access Map by Country/Region

1
Back to TopTop