Division of Nephrology, Department of Medicine, Massachusetts General Hospital, Harvard University, Boston, Massachusetts, USA.
Division of Nephrology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Blood Purif. 2018;45(1-3):194-200. doi: 10.1159/000485157. Epub 2018 Jan 26.
Pregnancy is uncommon in women with end-stage renal disease (ESRD). Fertility rates are low in women on dialysis, and physicians still frequently counsel women with ESRD against pregnancy. Advancements in the delivery of dialysis and obstetric care have led to improved live birth rates in women on dialysis, so pregnancy for young women with ESRD is now more feasible and safer. However, these pregnancies remain high-risk for both maternal and fetal complications, necessitating experienced multidisciplinary care. In this article, we review fertility issues in women with ESRD, discuss pregnancy outcomes in women on dialysis, and provide an approach for management of pregnant women with ESRD.
患有终末期肾病（ESRD）的女性妊娠并不常见。透析女性的生育率较低，医生仍经常建议 ESRD 女性不要怀孕。透析和产科护理水平的提高导致透析女性的活产率提高，因此年轻 ESRD 女性现在更有可能且更安全地怀孕。然而，这些妊娠对母婴并发症的风险仍然很高，需要有经验的多学科护理。本文回顾了 ESRD 女性的生育问题，讨论了透析女性的妊娠结局，并提供了 ESRD 孕妇管理方法。
