[Renaliste] Grossesse et dialyse

José Guiserix j.guiserix at ch-sudreunion.fr
Lun 4 Déc 13:50:01 CET 2006


Nephrologie. 1996;17(5):297-301. Links
[Pregnancy in chronic hemodialysis]
[Article in French]
  a.. Guiserix J.
Service de nephrologie-dialyse, Centre hospitalier Alfred Isautler,
Saint-Pierre La Reunion.

Two successful pregnancies in our dialysis center bring us an opportunity to
update the related treatment. The success rate of this rare event is more
than 30% at the moment. Maternal morbidity is reduced through close follow
up. From the second semester, it is necessary to adapt and intensify
dialysis, which becomes daily. At the third quarter, full-time
hospitalization, extended to a high risk pregnancy unit at first incident,
must be provided. Delivery may be normal. The infant is not particularly at
risk for malformation, but is 30 to 35 weeks premature; at short time, its
psychomotor development seems normal. To our sense, to influence
systematically on women a "voluntary" therapeutic pregnancy interruption
might be qualified if, when duly informed, women wish to try and keep their
child.

----- Original Message -----
From: "Dr Josse" <agjosse at clinique-pontdechaume.fr>
To: "RENALISTE" <renaliste at nephrodial.org>
Sent: Monday, December 04, 2006 12:12 PM
Subject: [Renaliste] Grossesse et dialyse


Message de la liste nephrologique francophone RENALISTE
----------------------------------
L'une de nos patientes âgée de 24 ans, récemment reprise en HD sur boucle
saphène, après un an de greffe pour cause d'immunosuppression prise de façon
aléatoire, est enceinte de 6 SA et a priori décidée à préserver cette
grossesse.
Quelles sont vos expériences d'une telle "aventure"? Quelles
recommandations?

Merci de vos avis

AG JOSSE
Montauban



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