[ Chronic renal failure and pregnancy a propos one case and review of the literature ]
Volume 6, Issue 1, May 2014, Pages 61–67
Saida Mezane1, Mouna Achenani2, M. Ziyadi3, R. Hafidi4, Abdellah Babahabib5, M. EL hassani6, J. Kaouach7, Driss Moussaoui8, and Mohammed Dehayni9
1 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
2 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
3 Service Gynéco-Obstétrique Hôpital Militaire d'Instruction Mohamed V, CHU Rabat-Salé, Université Mohamed V Souissi, Rabat, Morocco
4 Service Gynéco-Obstétrique Hôpital Militaire d'Instruction Mohamed V, CHU Rabat-Salé, Université Mohamed V Souissi, Rabat, Morocco
5 Service gynécologie-obstétrique, Hôpital Militaire d’Instruction Mohamed V, Rabat, Morocco
6 Service Gynéco-Obstétrique Hôpital Militaire d'Instruction Mohamed V, CHU Rabat-Salé, Université Mohamed V Souissi, Rabat, Morocco
7 Service Gynéco-Obstétrique Hôpital Militaire d'Instruction Mohamed V, CHU Rabat-Salé, Université Mohamed V Souissi, Rabat, Morocco
8 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
9 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: French
Copyright © 2014 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Design hemodialysis is a rare event, maternal-fetal high risk because of the frequency of complications. However, improved technology and quality hemodialysis improves fertility in chronic hemodialysis patients of childbearing age with increasing number of pregnancies and decreased rates of premature and others complications. Indeed, treatment of anemia, and improved figures uremia by intensive dialysis in women on hemodialysis, and treatment of other complications, may improve outcomes. In chronic kidney disease and pregnancy exert on each other interaction: CKD sounds on fetal prognosis, while pregnancy can alter the course of the CKD. This pregnancy should be planned and benefit from joint monitoring by a nephrologist, obstetrician, especially when the patient is hypertensive, This pregnancy should be planned and benefit from joint monitoring by a nephrologist and obstetrician, especially when the patient is hypertensive, and effective contraception, reversible, safe and reliable, must be chosen in these patients and as well as those which have been grafted and of childbearing. But currently, the majority of patients suffering from this disease are likely to have a pregnancy, like other moms, no worsening of their kidney, thanks to recent advances in obstetrics and neonatology. We report a case of pregnancy led to 36SA in chronic hemodialysis patient from the age of 13, and we will consider successively the general factors of maternal and fetal prognosis in patients with CKD, complications that this pregnancy and the impact of pregnancy on chronic renal dialysis stage, to finally define the optimal treatment of hemodialysis pregnant women and confront the literature data rules.
Author Keywords: pregnancy, chronic renal failure, hemodialysis, infertility, treatment, prognosis.
Volume 6, Issue 1, May 2014, Pages 61–67
Saida Mezane1, Mouna Achenani2, M. Ziyadi3, R. Hafidi4, Abdellah Babahabib5, M. EL hassani6, J. Kaouach7, Driss Moussaoui8, and Mohammed Dehayni9
1 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
2 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
3 Service Gynéco-Obstétrique Hôpital Militaire d'Instruction Mohamed V, CHU Rabat-Salé, Université Mohamed V Souissi, Rabat, Morocco
4 Service Gynéco-Obstétrique Hôpital Militaire d'Instruction Mohamed V, CHU Rabat-Salé, Université Mohamed V Souissi, Rabat, Morocco
5 Service gynécologie-obstétrique, Hôpital Militaire d’Instruction Mohamed V, Rabat, Morocco
6 Service Gynéco-Obstétrique Hôpital Militaire d'Instruction Mohamed V, CHU Rabat-Salé, Université Mohamed V Souissi, Rabat, Morocco
7 Service Gynéco-Obstétrique Hôpital Militaire d'Instruction Mohamed V, CHU Rabat-Salé, Université Mohamed V Souissi, Rabat, Morocco
8 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
9 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: French
Copyright © 2014 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Design hemodialysis is a rare event, maternal-fetal high risk because of the frequency of complications. However, improved technology and quality hemodialysis improves fertility in chronic hemodialysis patients of childbearing age with increasing number of pregnancies and decreased rates of premature and others complications. Indeed, treatment of anemia, and improved figures uremia by intensive dialysis in women on hemodialysis, and treatment of other complications, may improve outcomes. In chronic kidney disease and pregnancy exert on each other interaction: CKD sounds on fetal prognosis, while pregnancy can alter the course of the CKD. This pregnancy should be planned and benefit from joint monitoring by a nephrologist, obstetrician, especially when the patient is hypertensive, This pregnancy should be planned and benefit from joint monitoring by a nephrologist and obstetrician, especially when the patient is hypertensive, and effective contraception, reversible, safe and reliable, must be chosen in these patients and as well as those which have been grafted and of childbearing. But currently, the majority of patients suffering from this disease are likely to have a pregnancy, like other moms, no worsening of their kidney, thanks to recent advances in obstetrics and neonatology. We report a case of pregnancy led to 36SA in chronic hemodialysis patient from the age of 13, and we will consider successively the general factors of maternal and fetal prognosis in patients with CKD, complications that this pregnancy and the impact of pregnancy on chronic renal dialysis stage, to finally define the optimal treatment of hemodialysis pregnant women and confront the literature data rules.
Author Keywords: pregnancy, chronic renal failure, hemodialysis, infertility, treatment, prognosis.
Abstract: (french)
Design hemodialysis is a rare event, maternal-fetal high risk because of the frequency of complications. However, improved technology and quality hemodialysis improves fertility in chronic hemodialysis patients of childbearing age with increasing number of pregnancies and decreased rates of premature and others complications. Indeed, treatment of anemia, and improved figures uremia by intensive dialysis in women on hemodialysis, and treatment of other complications, may improve outcomes. In chronic kidney disease and pregnancy exert on each other interaction: CKD sounds on fetal prognosis, while pregnancy can alter the course of the CKD. This pregnancy should be planned and benefit from joint monitoring by a nephrologist, obstetrician, especially when the patient is hypertensive, This pregnancy should be planned and benefit from joint monitoring by a nephrologist and obstetrician, especially when the patient is hypertensive, and effective contraception, reversible, safe and reliable, must be chosen in these patients and as well as those which have been grafted and of childbearing. But currently, the majority of patients suffering from this disease are likely to have a pregnancy, like other moms, no worsening of their kidney, thanks to recent advances in obstetrics and neonatology. We report a case of pregnancy led to 36SA in chronic hemodialysis patient from the age of 13, and we will consider successively the general factors of maternal and fetal prognosis in patients with CKD, complications that this pregnancy and the impact of pregnancy on chronic renal dialysis stage, to finally define the optimal treatment of hemodialysis pregnant women and confront the literature data rules.
Author Keywords: grossesse, hémodialyse, insuffisance rénale chronique, infertilité, traitement, pronostic.
How to Cite this Article
Saida Mezane, Mouna Achenani, M. Ziyadi, R. Hafidi, Abdellah Babahabib, M. EL hassani, J. Kaouach, Driss Moussaoui, and Mohammed Dehayni, “Insuffisance rénale chronique et grossesse à propos d'un cas avec revue de la littérature,” International Journal of Innovation and Applied Studies, vol. 6, no. 1, pp. 61–67, May 2014.
