Pregnancy and Hemodialysis: About a Successful Twin Pregnancy

Authors

  • Rita Medeiros Departamento de Obstetrícia A. Maternidade Doutor Daniel de Matos. Centro Hospitalar e Universitário de Coimbra. Coimbra. https://orcid.org/0000-0002-7491-0096
  • Maria de São José Pais Departamento de Obstetrícia A. Maternidade Doutor Daniel de Matos. Centro Hospitalar e Universitário de Coimbra. Coimbra.
  • Luís Freitas Departamento de Nefrologia. Centro Hospitalar e Universitário de Coimbra. Coimbra.
  • Paulo Moura Departamento de Obstetrícia A. Maternidade Doutor Daniel de Matos. Centro Hospitalar e Universitário de Coimbra. Coimbra.

DOI:

https://doi.org/10.20344/amp.11377

Keywords:

Pregnancy, Twin, Renal Dialysis, Renal Insufficiency, Chronic

Abstract

Pregnancy is a rare condition in women with chronic kidney disease on hemodialysis, but its incidence has increased in recent years. Despite being a high-risk condition for both mother and fetus, there has been an improvement in care due to the increased number of cases described and the experience gained in dialysis therapy. We report the case of a multiparous 32-years-old women with chronic hypertension and chronic kidney disease with 10 years of evolution and difficult control, with a diagnosis of dichorionic/diamniotic twin pregnancy, 4 months after beginning hemodialysis. Pregnancy was managed by a multidisciplinary team, hemodialysis sessions were clinically and hemodynamically well tolerated, with good blood pressure and analytical control, as well as adequate development of both fetuses. She went into labor at 34 weeks and 6 days, so a caesarean section was performed, with 2 boys born with adequate weight for gestational age.

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Author Biographies

Rita Medeiros, Departamento de Obstetrícia A. Maternidade Doutor Daniel de Matos. Centro Hospitalar e Universitário de Coimbra. Coimbra.

Obstetrícia

Maria de São José Pais, Departamento de Obstetrícia A. Maternidade Doutor Daniel de Matos. Centro Hospitalar e Universitário de Coimbra. Coimbra.

Obstetrícia

Luís Freitas, Departamento de Nefrologia. Centro Hospitalar e Universitário de Coimbra. Coimbra.

Nefrologia

Paulo Moura, Departamento de Obstetrícia A. Maternidade Doutor Daniel de Matos. Centro Hospitalar e Universitário de Coimbra. Coimbra.

Obstetrícia

Published

2021-01-04

How to Cite

1.
Medeiros R, Pais M de SJ, Freitas L, Moura P. Pregnancy and Hemodialysis: About a Successful Twin Pregnancy. Acta Med Port [Internet]. 2021 Jan. 4 [cited 2023 Feb. 1];34(1):56-8. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/11377

Issue

Section

Case Report