Pregnancy Among Women Receiving Chronic Dialysis in France (2006–2020)
In women receiving chronic dialysis, fertility is impaired. The objectives of this study were to estimate the incidence rate of pregnancies among women of childbearing age (15–50 years) receiving chronic dialysis from 2006 to 2020 in France, to describe the pregnancy outcomes and renal management du...
Gespeichert in:
| Veröffentlicht in: | Kidney international reports 2024-08, Vol.9 (8), p.2432-2442 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 2442 |
|---|---|
| container_issue | 8 |
| container_start_page | 2432 |
| container_title | Kidney international reports |
| container_volume | 9 |
| creator | Baouche, Hayet Couchoud, Cécile Boulanger, Henri Ahriz-Saksi, Salima Mansouri, Imene Hamani, Abdelaziz Taupin, Pierre Ferreira, Xavier Panaye, Marine Stirnemann, Julien Moranne, Olivier Jais, Jean-Philippe |
| description | In women receiving chronic dialysis, fertility is impaired. The objectives of this study were to estimate the incidence rate of pregnancies among women of childbearing age (15–50 years) receiving chronic dialysis from 2006 to 2020 in France, to describe the pregnancy outcomes and renal management during pregnancy.
This national observational, retrospective study was based on data from the French REIN registry matched with the National Health Data System.
Over the period 2006 to 2020 in France, 348 pregnancies were identified in 240 women receiving chronic dialysis. The overall incidence of pregnancy was 11.1, 95% confidence interval (CI) (9.9–12.3) cases per 1000 person-years. Hemodialysis was the predominant modality during pregnancy. Main maternal complications were preeclampsia (n = 19) and gestational diabetes (n = 11). The most obstetric complications were premature rupture of membranes (n = 14) and polyhydramnios (n = 5). These pregnancies resulted in 174 (50%) abortions ( |
| doi_str_mv | 10.1016/j.ekir.2024.05.008 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3094471610</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S2468024924017169</els_id><sourcerecordid>3094471610</sourcerecordid><originalsourceid>FETCH-LOGICAL-c281t-1625810e5b29fc2a51cc87cfdedf7cce5ac8f82b5dcc70e059a50284c5c54d1b3</originalsourceid><addsrcrecordid>eNp9kM9Kw0AQxhdRrNS-gAfJsR4SZ7fZZANeSrVWKCiieFzSyaRubZK62xZ68x18Q5_ELa3iydP84fs-Zn6MnXGIOPDkchbRm7GRABFHICMAdcBORJyo0G-ywz99i3WcmwEATxOZgTpmrV7GZcIlP2GjB0vTOq9xE_Srpp4GL01FdfBISGZt_Dx4tU1tMLg2-XzjjAtMHQytN1DQFQDJ18envwEuTtlRmc8ddfa1zZ6HN0-DUTi-v70b9MchCsWXIU-EVBxITkRWosglR1QplgUVZYpIMkdVKjGRBWIKBDLLJQgVo0QZF3zSa7PuLndhm_cVuaWujEOaz_OampXTPcjiOOUJBy8VOynaxjlLpV5YU-V2oznoLUQ901uIegtRg9Qeojed7_NXk4qKX8sPMi-42gnIf7k2ZLVDQ55HYSzhUheN-S__G3WpgXQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3094471610</pqid></control><display><type>article</type><title>Pregnancy Among Women Receiving Chronic Dialysis in France (2006–2020)</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Baouche, Hayet ; Couchoud, Cécile ; Boulanger, Henri ; Ahriz-Saksi, Salima ; Mansouri, Imene ; Hamani, Abdelaziz ; Taupin, Pierre ; Ferreira, Xavier ; Panaye, Marine ; Stirnemann, Julien ; Moranne, Olivier ; Jais, Jean-Philippe</creator><creatorcontrib>Baouche, Hayet ; Couchoud, Cécile ; Boulanger, Henri ; Ahriz-Saksi, Salima ; Mansouri, Imene ; Hamani, Abdelaziz ; Taupin, Pierre ; Ferreira, Xavier ; Panaye, Marine ; Stirnemann, Julien ; Moranne, Olivier ; Jais, Jean-Philippe ; REIN registry</creatorcontrib><description>In women receiving chronic dialysis, fertility is impaired. The objectives of this study were to estimate the incidence rate of pregnancies among women of childbearing age (15–50 years) receiving chronic dialysis from 2006 to 2020 in France, to describe the pregnancy outcomes and renal management during pregnancy.
This national observational, retrospective study was based on data from the French REIN registry matched with the National Health Data System.
Over the period 2006 to 2020 in France, 348 pregnancies were identified in 240 women receiving chronic dialysis. The overall incidence of pregnancy was 11.1, 95% confidence interval (CI) (9.9–12.3) cases per 1000 person-years. Hemodialysis was the predominant modality during pregnancy. Main maternal complications were preeclampsia (n = 19) and gestational diabetes (n = 11). The most obstetric complications were premature rupture of membranes (n = 14) and polyhydramnios (n = 5). These pregnancies resulted in 174 (50%) abortions (<22 weeks), including 104 elective abortions (29.9%), 44 miscarriages (12.6%), 17 therapeutic abortions (4.9%), 5 ectopic pregnancies (1.4%), and 4 hydatidiform moles (1.2%). The remaining 174 (50%) pregnancies with deliveries (≥22 weeks) resulted in 166 live births (70 full-term [42.2%], 96 preterm births [57.8%]), and 8 stillbirths. Median gestational age was 36 weeks (32–38) for 174 deliveries.
There have been improvements in maternal and fetal outcomes regarding pregnancy on chronic dialysis. However, our study shows a significant proportion of elective abortions. Better fertility management of women receiving chronic dialysis is advised by contraception or by pregnancy planning and early multidisciplinary follow-up.
[Display omitted]</description><identifier>ISSN: 2468-0249</identifier><identifier>EISSN: 2468-0249</identifier><identifier>DOI: 10.1016/j.ekir.2024.05.008</identifier><identifier>PMID: 39156151</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>chronic kidney failure ; pregnancy ; pregnancy complications ; pregnancy outcome ; renal dialysis</subject><ispartof>Kidney international reports, 2024-08, Vol.9 (8), p.2432-2442</ispartof><rights>2024 International Society of Nephrology</rights><rights>2024 International Society of Nephrology. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c281t-1625810e5b29fc2a51cc87cfdedf7cce5ac8f82b5dcc70e059a50284c5c54d1b3</cites><orcidid>0000-0002-9273-660X ; 0000-0002-1332-8334</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39156151$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baouche, Hayet</creatorcontrib><creatorcontrib>Couchoud, Cécile</creatorcontrib><creatorcontrib>Boulanger, Henri</creatorcontrib><creatorcontrib>Ahriz-Saksi, Salima</creatorcontrib><creatorcontrib>Mansouri, Imene</creatorcontrib><creatorcontrib>Hamani, Abdelaziz</creatorcontrib><creatorcontrib>Taupin, Pierre</creatorcontrib><creatorcontrib>Ferreira, Xavier</creatorcontrib><creatorcontrib>Panaye, Marine</creatorcontrib><creatorcontrib>Stirnemann, Julien</creatorcontrib><creatorcontrib>Moranne, Olivier</creatorcontrib><creatorcontrib>Jais, Jean-Philippe</creatorcontrib><creatorcontrib>REIN registry</creatorcontrib><title>Pregnancy Among Women Receiving Chronic Dialysis in France (2006–2020)</title><title>Kidney international reports</title><addtitle>Kidney Int Rep</addtitle><description>In women receiving chronic dialysis, fertility is impaired. The objectives of this study were to estimate the incidence rate of pregnancies among women of childbearing age (15–50 years) receiving chronic dialysis from 2006 to 2020 in France, to describe the pregnancy outcomes and renal management during pregnancy.
This national observational, retrospective study was based on data from the French REIN registry matched with the National Health Data System.
Over the period 2006 to 2020 in France, 348 pregnancies were identified in 240 women receiving chronic dialysis. The overall incidence of pregnancy was 11.1, 95% confidence interval (CI) (9.9–12.3) cases per 1000 person-years. Hemodialysis was the predominant modality during pregnancy. Main maternal complications were preeclampsia (n = 19) and gestational diabetes (n = 11). The most obstetric complications were premature rupture of membranes (n = 14) and polyhydramnios (n = 5). These pregnancies resulted in 174 (50%) abortions (<22 weeks), including 104 elective abortions (29.9%), 44 miscarriages (12.6%), 17 therapeutic abortions (4.9%), 5 ectopic pregnancies (1.4%), and 4 hydatidiform moles (1.2%). The remaining 174 (50%) pregnancies with deliveries (≥22 weeks) resulted in 166 live births (70 full-term [42.2%], 96 preterm births [57.8%]), and 8 stillbirths. Median gestational age was 36 weeks (32–38) for 174 deliveries.
There have been improvements in maternal and fetal outcomes regarding pregnancy on chronic dialysis. However, our study shows a significant proportion of elective abortions. Better fertility management of women receiving chronic dialysis is advised by contraception or by pregnancy planning and early multidisciplinary follow-up.
[Display omitted]</description><subject>chronic kidney failure</subject><subject>pregnancy</subject><subject>pregnancy complications</subject><subject>pregnancy outcome</subject><subject>renal dialysis</subject><issn>2468-0249</issn><issn>2468-0249</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kM9Kw0AQxhdRrNS-gAfJsR4SZ7fZZANeSrVWKCiieFzSyaRubZK62xZ68x18Q5_ELa3iydP84fs-Zn6MnXGIOPDkchbRm7GRABFHICMAdcBORJyo0G-ywz99i3WcmwEATxOZgTpmrV7GZcIlP2GjB0vTOq9xE_Srpp4GL01FdfBISGZt_Dx4tU1tMLg2-XzjjAtMHQytN1DQFQDJ18envwEuTtlRmc8ddfa1zZ6HN0-DUTi-v70b9MchCsWXIU-EVBxITkRWosglR1QplgUVZYpIMkdVKjGRBWIKBDLLJQgVo0QZF3zSa7PuLndhm_cVuaWujEOaz_OampXTPcjiOOUJBy8VOynaxjlLpV5YU-V2oznoLUQ901uIegtRg9Qeojed7_NXk4qKX8sPMi-42gnIf7k2ZLVDQ55HYSzhUheN-S__G3WpgXQ</recordid><startdate>202408</startdate><enddate>202408</enddate><creator>Baouche, Hayet</creator><creator>Couchoud, Cécile</creator><creator>Boulanger, Henri</creator><creator>Ahriz-Saksi, Salima</creator><creator>Mansouri, Imene</creator><creator>Hamani, Abdelaziz</creator><creator>Taupin, Pierre</creator><creator>Ferreira, Xavier</creator><creator>Panaye, Marine</creator><creator>Stirnemann, Julien</creator><creator>Moranne, Olivier</creator><creator>Jais, Jean-Philippe</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9273-660X</orcidid><orcidid>https://orcid.org/0000-0002-1332-8334</orcidid></search><sort><creationdate>202408</creationdate><title>Pregnancy Among Women Receiving Chronic Dialysis in France (2006–2020)</title><author>Baouche, Hayet ; Couchoud, Cécile ; Boulanger, Henri ; Ahriz-Saksi, Salima ; Mansouri, Imene ; Hamani, Abdelaziz ; Taupin, Pierre ; Ferreira, Xavier ; Panaye, Marine ; Stirnemann, Julien ; Moranne, Olivier ; Jais, Jean-Philippe</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c281t-1625810e5b29fc2a51cc87cfdedf7cce5ac8f82b5dcc70e059a50284c5c54d1b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>chronic kidney failure</topic><topic>pregnancy</topic><topic>pregnancy complications</topic><topic>pregnancy outcome</topic><topic>renal dialysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baouche, Hayet</creatorcontrib><creatorcontrib>Couchoud, Cécile</creatorcontrib><creatorcontrib>Boulanger, Henri</creatorcontrib><creatorcontrib>Ahriz-Saksi, Salima</creatorcontrib><creatorcontrib>Mansouri, Imene</creatorcontrib><creatorcontrib>Hamani, Abdelaziz</creatorcontrib><creatorcontrib>Taupin, Pierre</creatorcontrib><creatorcontrib>Ferreira, Xavier</creatorcontrib><creatorcontrib>Panaye, Marine</creatorcontrib><creatorcontrib>Stirnemann, Julien</creatorcontrib><creatorcontrib>Moranne, Olivier</creatorcontrib><creatorcontrib>Jais, Jean-Philippe</creatorcontrib><creatorcontrib>REIN registry</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Kidney international reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baouche, Hayet</au><au>Couchoud, Cécile</au><au>Boulanger, Henri</au><au>Ahriz-Saksi, Salima</au><au>Mansouri, Imene</au><au>Hamani, Abdelaziz</au><au>Taupin, Pierre</au><au>Ferreira, Xavier</au><au>Panaye, Marine</au><au>Stirnemann, Julien</au><au>Moranne, Olivier</au><au>Jais, Jean-Philippe</au><aucorp>REIN registry</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pregnancy Among Women Receiving Chronic Dialysis in France (2006–2020)</atitle><jtitle>Kidney international reports</jtitle><addtitle>Kidney Int Rep</addtitle><date>2024-08</date><risdate>2024</risdate><volume>9</volume><issue>8</issue><spage>2432</spage><epage>2442</epage><pages>2432-2442</pages><issn>2468-0249</issn><eissn>2468-0249</eissn><abstract>In women receiving chronic dialysis, fertility is impaired. The objectives of this study were to estimate the incidence rate of pregnancies among women of childbearing age (15–50 years) receiving chronic dialysis from 2006 to 2020 in France, to describe the pregnancy outcomes and renal management during pregnancy.
This national observational, retrospective study was based on data from the French REIN registry matched with the National Health Data System.
Over the period 2006 to 2020 in France, 348 pregnancies were identified in 240 women receiving chronic dialysis. The overall incidence of pregnancy was 11.1, 95% confidence interval (CI) (9.9–12.3) cases per 1000 person-years. Hemodialysis was the predominant modality during pregnancy. Main maternal complications were preeclampsia (n = 19) and gestational diabetes (n = 11). The most obstetric complications were premature rupture of membranes (n = 14) and polyhydramnios (n = 5). These pregnancies resulted in 174 (50%) abortions (<22 weeks), including 104 elective abortions (29.9%), 44 miscarriages (12.6%), 17 therapeutic abortions (4.9%), 5 ectopic pregnancies (1.4%), and 4 hydatidiform moles (1.2%). The remaining 174 (50%) pregnancies with deliveries (≥22 weeks) resulted in 166 live births (70 full-term [42.2%], 96 preterm births [57.8%]), and 8 stillbirths. Median gestational age was 36 weeks (32–38) for 174 deliveries.
There have been improvements in maternal and fetal outcomes regarding pregnancy on chronic dialysis. However, our study shows a significant proportion of elective abortions. Better fertility management of women receiving chronic dialysis is advised by contraception or by pregnancy planning and early multidisciplinary follow-up.
[Display omitted]</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>39156151</pmid><doi>10.1016/j.ekir.2024.05.008</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-9273-660X</orcidid><orcidid>https://orcid.org/0000-0002-1332-8334</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2468-0249 |
| ispartof | Kidney international reports, 2024-08, Vol.9 (8), p.2432-2442 |
| issn | 2468-0249 2468-0249 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3094471610 |
| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | chronic kidney failure pregnancy pregnancy complications pregnancy outcome renal dialysis |
| title | Pregnancy Among Women Receiving Chronic Dialysis in France (2006–2020) |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T19%3A53%3A05IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Pregnancy%20Among%20Women%20Receiving%20Chronic%20Dialysis%20in%20France%20(2006%E2%80%932020)&rft.jtitle=Kidney%20international%20reports&rft.au=Baouche,%20Hayet&rft.aucorp=REIN%20registry&rft.date=2024-08&rft.volume=9&rft.issue=8&rft.spage=2432&rft.epage=2442&rft.pages=2432-2442&rft.issn=2468-0249&rft.eissn=2468-0249&rft_id=info:doi/10.1016/j.ekir.2024.05.008&rft_dat=%3Cproquest_cross%3E3094471610%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3094471610&rft_id=info:pmid/39156151&rft_els_id=S2468024924017169&rfr_iscdi=true |