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Vol. 87, No. 1, 2001
Issue release date: 2001
Section title: Case Report
Nephron 2001;87:85–88
(DOI:10.1159/000045889)

Successful Pregnancy in a Patient with Polycystic Kidney Disease and Advanced Renal Failure without Prophylactic Dialysis

Hassan K. · Weissmam I. · Osman S. · Gery R. · Oettinger M. · Shasha S.M. · Kristal B.
aNephrology and Hypertension Unit and bObstetric and Gynecology Department, Western Galilee Hospital, Nahariya, Israel

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Article / Publication Details

First-Page Preview
Abstract of Case Report

Published online: 1/22/2001

Number of Print Pages: 4
Number of Figures: 1
Number of Tables: 1

ISSN: 1660-8151 (Print)
eISSN: 2235-3186 (Online)

For additional information: http://www.karger.com/NEF

Abstract

Pregnancies in women suffering from advanced chronic renal failure are frequently associated with deterioration of maternal renal function, premature births and low birth weights. Prophylactic dialysis is sometimes instituted since this intervention ameliorates the uremic milieu and improves maternal status and fetal uterine environment. This report describes a successful pregnancy and delivery in a hypertensive woman with advanced chronic renal failure due to polycystic kidney disease without accelerating the natural deterioration of renal function and without instituting prophylactic dialysis. The infant was delivered at full term with a normal birth weight. Thirty months after delivery, growth and development of the child were normal and the rate of deterioration of maternal renal function, assessed by 1/creatinine, was unaffected by pregnancy. Conservative management and effective control of blood pressure may be sufficient to achieve successful pregnancy outcome when women with advanced chronic renal failure become pregnant.


  

Author Contacts

K. Hassan
Nephrology and Hypertension Unit
Western Galilee Hospital
Nahariya 22100 (Israel)
Tel. +972 4 985 7603, Fax +972 4 985 0482, E-Mail krisdl@naharia.health.gov.il

  

Article Information

Accepted: May 8, 2000
Number of Print Pages : 4
Number of Figures : 1, Number of Tables : 1, Number of References : 18

  

Publication Details

Nephron
Founded 1964 by G. Richet and G.E. Schreiner

Vol. 87, No. 1, Year 2001 (Cover Date: January 2001)

Journal Editor: G.M. Berlyne, Brooklyn, N.Y./Beersheva; S. Ito, Sendai
ISSN: 0028–2766 (print), 1423–0186 (Online)

For additional information: http://www.karger.com/journals/nef


Article / Publication Details

First-Page Preview
Abstract of Case Report

Published online: 1/22/2001

Number of Print Pages: 4
Number of Figures: 1
Number of Tables: 1

ISSN: 1660-8151 (Print)
eISSN: 2235-3186 (Online)

For additional information: http://www.karger.com/NEF


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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