Obstetric outcomes in women with end-stage renal failure requiring renal dialysis
To study obstetric outcomes in women with end-stage renal failure undergoing chronic renal dialysis. Methods: A retrospective review of the database from the High-Risk Pregnancy Clinic at Singapore General Hospital, Singapore. Results: From 1995 to 2004, 7 women treated with chronic renal dialysis h...
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| Veröffentlicht in: | International journal of gynecology and obstetrics 2006-07, Vol.94 (1), p.17-22 |
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| container_title | International journal of gynecology and obstetrics |
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| creator | Tan, L.-K. Kanagalingam, D. Tan, H.-K. Choong, H.-L. |
| description | To study obstetric outcomes in women with end-stage renal failure undergoing chronic renal dialysis.
Methods: A retrospective review of the database from the High-Risk Pregnancy Clinic at Singapore General Hospital, Singapore.
Results: From 1995 to 2004, 7 women treated with chronic renal dialysis had a total of 11 pregnancies. There were 2 pregnancy losses at previable gestation ages and 9 live births. Median gestational age at delivery was 31 weeks, and mean birth weight was 1390 g. Seven newborns had a low birth weight and 5 required neonatal intensive care. Severe hypertension occurred in 4 women for a total of 7 pregnancies. Other complications included polyhydramnios (
n
=
2), preterm prelabor rupture of membranes (
n
=
2), obstetric cholestasis (
n
=
2), postpartum hemorrhage (
n
=
1), thrombosis of the arteriovenous fistula (
n
=
2), postpartum peritonitis (
n
=
1), and fetal anomaly (
n
=
1). There were no maternal deaths.
Conclusion: Such pregnancies are high-risk, particularly because of maternal hypertension and prematurity. They should be managed by multidisciplinary teams, and prepregnancy counseling should not be neglected. |
| doi_str_mv | 10.1016/j.ijgo.2006.03.033 |
| format | Article |
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Methods: A retrospective review of the database from the High-Risk Pregnancy Clinic at Singapore General Hospital, Singapore.
Results: From 1995 to 2004, 7 women treated with chronic renal dialysis had a total of 11 pregnancies. There were 2 pregnancy losses at previable gestation ages and 9 live births. Median gestational age at delivery was 31 weeks, and mean birth weight was 1390 g. Seven newborns had a low birth weight and 5 required neonatal intensive care. Severe hypertension occurred in 4 women for a total of 7 pregnancies. Other complications included polyhydramnios (
n
=
2), preterm prelabor rupture of membranes (
n
=
2), obstetric cholestasis (
n
=
2), postpartum hemorrhage (
n
=
1), thrombosis of the arteriovenous fistula (
n
=
2), postpartum peritonitis (
n
=
1), and fetal anomaly (
n
=
1). There were no maternal deaths.
Conclusion: Such pregnancies are high-risk, particularly because of maternal hypertension and prematurity. They should be managed by multidisciplinary teams, and prepregnancy counseling should not be neglected.</description><identifier>ISSN: 0020-7292</identifier><identifier>EISSN: 1879-3479</identifier><identifier>DOI: 10.1016/j.ijgo.2006.03.033</identifier><identifier>PMID: 16756981</identifier><language>eng</language><publisher>United States: Elsevier Ireland Ltd</publisher><subject>Adult ; Chronic renal dialysis ; End-stage renal failure ; Female ; Humans ; Hypertension - etiology ; Kidney Failure, Chronic - complications ; Kidney Failure, Chronic - physiopathology ; Kidney Failure, Chronic - therapy ; Pregnancy ; Pregnancy and renal dialysis ; Pregnancy Complications - physiopathology ; Pregnancy Complications - therapy ; Pregnancy Outcome ; Renal Dialysis ; Retrospective Studies</subject><ispartof>International journal of gynecology and obstetrics, 2006-07, Vol.94 (1), p.17-22</ispartof><rights>2006 International Federation of Gynecology and Obstetrics</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4017-2025d8d59daecacac25469fdb5e9abf9fa8385cc4bfa20deaffc4cc6d5fdb1ae3</citedby><cites>FETCH-LOGICAL-c4017-2025d8d59daecacac25469fdb5e9abf9fa8385cc4bfa20deaffc4cc6d5fdb1ae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1016%2Fj.ijgo.2006.03.033$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1016%2Fj.ijgo.2006.03.033$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27922,27923,45572,45573</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16756981$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tan, L.-K.</creatorcontrib><creatorcontrib>Kanagalingam, D.</creatorcontrib><creatorcontrib>Tan, H.-K.</creatorcontrib><creatorcontrib>Choong, H.-L.</creatorcontrib><title>Obstetric outcomes in women with end-stage renal failure requiring renal dialysis</title><title>International journal of gynecology and obstetrics</title><addtitle>Int J Gynaecol Obstet</addtitle><description>To study obstetric outcomes in women with end-stage renal failure undergoing chronic renal dialysis.
Methods: A retrospective review of the database from the High-Risk Pregnancy Clinic at Singapore General Hospital, Singapore.
Results: From 1995 to 2004, 7 women treated with chronic renal dialysis had a total of 11 pregnancies. There were 2 pregnancy losses at previable gestation ages and 9 live births. Median gestational age at delivery was 31 weeks, and mean birth weight was 1390 g. Seven newborns had a low birth weight and 5 required neonatal intensive care. Severe hypertension occurred in 4 women for a total of 7 pregnancies. Other complications included polyhydramnios (
n
=
2), preterm prelabor rupture of membranes (
n
=
2), obstetric cholestasis (
n
=
2), postpartum hemorrhage (
n
=
1), thrombosis of the arteriovenous fistula (
n
=
2), postpartum peritonitis (
n
=
1), and fetal anomaly (
n
=
1). There were no maternal deaths.
Conclusion: Such pregnancies are high-risk, particularly because of maternal hypertension and prematurity. They should be managed by multidisciplinary teams, and prepregnancy counseling should not be neglected.</description><subject>Adult</subject><subject>Chronic renal dialysis</subject><subject>End-stage renal failure</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension - etiology</subject><subject>Kidney Failure, Chronic - complications</subject><subject>Kidney Failure, Chronic - physiopathology</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Pregnancy</subject><subject>Pregnancy and renal dialysis</subject><subject>Pregnancy Complications - physiopathology</subject><subject>Pregnancy Complications - therapy</subject><subject>Pregnancy Outcome</subject><subject>Renal Dialysis</subject><subject>Retrospective Studies</subject><issn>0020-7292</issn><issn>1879-3479</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkF1LwzAYhYMobk7_gBfSK-9ak7RNW_BGhs7JYAh6HdLkzUzp2i1pHfv3pnTgnUhe8sVzDoeD0C3BEcGEPVSRqTZtRDFmEY79xGdoSvKsCOMkK87RFGOKw4wWdIKunKswxiQj5BJNCMtSVuRkit7Xpeugs0YGbd_JdgsuME1w8Be_m-4rgEaFrhMbCCw0og60MHVvh9e-N9Y0m9O_MqI-OuOu0YUWtYOb0zlDny_PH_PXcLVeLOdPq1AmPkZIMU1VrtJCCZDCL5omrNCqTKEQpS60yOM8lTIptaBYgdBaJlIylXqGCIhn6H703dl234Pr-NY4CXUtGmh7x1nOCM5Y5kE6gtK2zlnQfGfNVtgjJ5gPRfKKD0XyoUiOYz-xF92d3PtyC-pXcmrOA2wEDqaG4z8s-fJtsSZDnMdRCL6cbwOWO2mgkaCMBdlx1Zq_gv0AplmYnw</recordid><startdate>200607</startdate><enddate>200607</enddate><creator>Tan, L.-K.</creator><creator>Kanagalingam, D.</creator><creator>Tan, H.-K.</creator><creator>Choong, H.-L.</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200607</creationdate><title>Obstetric outcomes in women with end-stage renal failure requiring renal dialysis</title><author>Tan, L.-K. ; Kanagalingam, D. ; Tan, H.-K. ; Choong, H.-L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4017-2025d8d59daecacac25469fdb5e9abf9fa8385cc4bfa20deaffc4cc6d5fdb1ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Chronic renal dialysis</topic><topic>End-stage renal failure</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension - etiology</topic><topic>Kidney Failure, Chronic - complications</topic><topic>Kidney Failure, Chronic - physiopathology</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Pregnancy</topic><topic>Pregnancy and renal dialysis</topic><topic>Pregnancy Complications - physiopathology</topic><topic>Pregnancy Complications - therapy</topic><topic>Pregnancy Outcome</topic><topic>Renal Dialysis</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tan, L.-K.</creatorcontrib><creatorcontrib>Kanagalingam, D.</creatorcontrib><creatorcontrib>Tan, H.-K.</creatorcontrib><creatorcontrib>Choong, H.-L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tan, L.-K.</au><au>Kanagalingam, D.</au><au>Tan, H.-K.</au><au>Choong, H.-L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obstetric outcomes in women with end-stage renal failure requiring renal dialysis</atitle><jtitle>International journal of gynecology and obstetrics</jtitle><addtitle>Int J Gynaecol Obstet</addtitle><date>2006-07</date><risdate>2006</risdate><volume>94</volume><issue>1</issue><spage>17</spage><epage>22</epage><pages>17-22</pages><issn>0020-7292</issn><eissn>1879-3479</eissn><abstract>To study obstetric outcomes in women with end-stage renal failure undergoing chronic renal dialysis.
Methods: A retrospective review of the database from the High-Risk Pregnancy Clinic at Singapore General Hospital, Singapore.
Results: From 1995 to 2004, 7 women treated with chronic renal dialysis had a total of 11 pregnancies. There were 2 pregnancy losses at previable gestation ages and 9 live births. Median gestational age at delivery was 31 weeks, and mean birth weight was 1390 g. Seven newborns had a low birth weight and 5 required neonatal intensive care. Severe hypertension occurred in 4 women for a total of 7 pregnancies. Other complications included polyhydramnios (
n
=
2), preterm prelabor rupture of membranes (
n
=
2), obstetric cholestasis (
n
=
2), postpartum hemorrhage (
n
=
1), thrombosis of the arteriovenous fistula (
n
=
2), postpartum peritonitis (
n
=
1), and fetal anomaly (
n
=
1). There were no maternal deaths.
Conclusion: Such pregnancies are high-risk, particularly because of maternal hypertension and prematurity. They should be managed by multidisciplinary teams, and prepregnancy counseling should not be neglected.</abstract><cop>United States</cop><pub>Elsevier Ireland Ltd</pub><pmid>16756981</pmid><doi>10.1016/j.ijgo.2006.03.033</doi><tpages>6</tpages></addata></record> |
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| ispartof | International journal of gynecology and obstetrics, 2006-07, Vol.94 (1), p.17-22 |
| issn | 0020-7292 1879-3479 |
| language | eng |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Adult Chronic renal dialysis End-stage renal failure Female Humans Hypertension - etiology Kidney Failure, Chronic - complications Kidney Failure, Chronic - physiopathology Kidney Failure, Chronic - therapy Pregnancy Pregnancy and renal dialysis Pregnancy Complications - physiopathology Pregnancy Complications - therapy Pregnancy Outcome Renal Dialysis Retrospective Studies |
| title | Obstetric outcomes in women with end-stage renal failure requiring renal dialysis |
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