Centro Los Llanos, FRIAT, Móstoles, Madrid, Spain.
Nefrologia. 2012 May 14;32(3):287-94. doi: 10.3265/Nefrologia.pre2012.Jan.11319. Epub 2012 Feb 28.
The frequency of pregnancy in women on dialysis is extremely low, but the percentage of successful pregnancies in this context has increased over the years, with some studies placing the survival rate above 70%. These pregnancies are not exempt from both maternal and foetal complications, and so their management requires the joint efforts of nephrologists, gynaecologists, nurses, and nutritionists. Currently, we have been unable to establish consistent systematic treatment from both nephrological and gynaecological specialists in these patients. The main changes that need to be made are: increased time on dialysis, maintaining low levels of pre-dialysis urea, avoiding: maternal hypertension and hypotension, anaemia, urinary tract infections, and fluctuations in electrolytes. Adequate foetal monitoring is also necessary.
透析女性的妊娠频率极低，但近年来这方面的成功妊娠率有所提高，一些研究报告的存活率超过 70%。这些妊娠并非没有母体和胎儿并发症，因此需要肾病学家、妇科医生、护士和营养师的共同努力。目前，我们还未能在这些患者中为肾病学和妇科专家建立一致的系统治疗方法。需要做出的主要改变是：增加透析时间，保持透析前尿素水平低，避免：母体高血压和低血压、贫血、尿路感染和电解质波动。还需要进行充分的胎儿监测。
