Journal Mobile Options
Table of Contents
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

Do you have an account?

Register and profit from personalized services (MyKarger) Login Information

Please create your User ID & Password





Contact Information









I have read the Karger Terms and Conditions and agree.

Register and profit from personalized services (MyKarger) Login Information

Please create your User ID & Password





Contact Information









I have read the Karger Terms and Conditions and agree.

To view the fulltext, please log in

To view the pdf, please log in

Buy

  • FullText & PDF
  • Unlimited re-access via MyKarger (new!)
  • Unrestricted printing, no saving restrictions for personal use
  • Reduced rates with a PPV account
read more

Direct: USD 33.00
Account: USD 23.00

Select

Rent/Cloud

  • Rent for 48h to view
  • Buy Cloud Access for unlimited viewing via different devices
  • Synchronizing in the ReadCube Cloud
  • Printing and saving restriction apply

Rental: USD 8.50
Cloud: USD 20.00

Select

Subscribe

  • Automatic perpetual access to all articles of the subscribed year(s)
  • Unlimited re-access via Subscriber Login or MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more

Subcription rates


Select


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.


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


Copyright / Drug Dosage

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
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.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

References

  1. Alkalay M, Blau A, Barkai G, Lipitz S, Mashiach S, Eliahou E: Successful pregnancy in a patient with polycystic kidney disease and advanced renal failure: The use of prophylactic dialysis. Am J Kidney Dis 1992;19:382–384.
  2. Cohen D, Frenkel Y, Mashiach S, Eliahou HE: Dialysis during pregnancy in advanced chronic renal failure patients: Outcome and progression. Clin Nephrol 1988;29:144–148.

    External Resources

  3. Forhling PT, Birnbaum M, Halle H, Lindenau K: Successful pregnancy of a woman with advanced renal failure on nutritional treatment. Nephron 1986;44:195–197.

    External Resources

  4. Jungers P, Chauveau D, Choukroun G, Moynot A, Skhiri H, Houillier P, Forget D, Grunfeld P: Pregnancy in women with impaired renal function. Clin Nephrol 1997;47:281–288.
  5. Hou S: Pregnancy in women with chronic renal disease. N Engl J Med 1985;312:836–839.

    External Resources

  6. Imbasciati E, Pardi G, Capetta P, Ambroso G, Bozzetti P, Pagliari B, Ponticelli C: Pregnancy in women with chronic renal failure. Am J Nephrol 1986;6:193–198.

    External Resources

  7. Jones DC, Hayslett JP: Outcome of pregnancy in woman with moderate or severe renal insufficiency. N Engl J Med 1996;335:226–232.
  8. Redrow M, Cherem L, Elliott J, Mangalat J, Mishler RE, Bennett WM, Lutz M, Sicala J, Byrnes J, Phillipe M, Hou S, Schon D: Dialysis in the management of pregnant patients with renal insufficiency. Medicine 1988;67:199–208.

    External Resources

  9. Vogt K, Keusch G, Baumann U, Bucher HU, Binswanger U: Successful pregnancy in advanced renal failure without dialysis. Pediatr Nephrol 1989;3:189–190.

    External Resources

  10. Hou SH: Pregnancy in women on hemodialysis and peritoneal dialysis. Clin Obstet Gynecol 1994;8:481–500.
  11. Davison JM: Dialysis, Transplantation, and pregnancy. Am J Kidney Dis 1991;17:127–132.
  12. Mitch WE, Walser M, Buffington GA, Lemann J Jr: A simple method of estimating progression of renal failure. Lancet 1976;ii:1326–1328.
  13. Epstein FH: Pregnancy and renal disease (editorial). N Engl J Med 1996;335:277–278.
  14. Imbasciati E, Ponticelli C: Pregnancy and renal disease: Predictors for fetal and maternal outcome. Am J Nephrol 1991;11:353–362.
  15. Pallor MS, Ferris TF: Kidney and hypertension in pregnancy; in Brenner BM, Rector FC Jr (eds): The Kidney, ed 5. Philadelphia, Saunders, 1992, pp 1755–1756.
  16. Jungers P, Houillier P, Forget D, Henry-Amar M: Specific controversies concerning the natural history of renal disease in pregnancy. Am J Kidney Dis 1991;17:116–122.
  17. Jungers P, Houillier P, Forget D, Labrunie M, Skhiri H, Giatras I, Descamps-Latscha B: Influence of pregnancy on the course of primary chronic glomerulonephritis. Lancet 1995;346:1122–1124.
  18. Packham DK, North RA, Fairley KF, Kloss M, Whitworth JA, Kincaid Smith P: Primary glomerulonephritis and pregnancy. Q J Med 1989;71:537–553.

    External Resources