Yattara H, Samaké M, Sy S, Diallo D, Coulibaly N, Djiguiba K, Fofana A S, Coulibaly S, Toure A, Coulibaly M, Diallo O, Fongoro S, Diouf B
service de néphrologie et d'hémodialyse du Point G.
hopital regional de Kayes.
Mali Med. 2019;34(1):53-58.
For a long time, pregnancy in chronic hemodialysis was considered medically contraindicated, because of the many maternal complications that it could cause. Its management is as heavy for the medical teams (nephrologist, obstetrician and neonatologist) as for the patient herself. We report here a case of pregnancy in a dialysis patient observed at the Madeleine clinic in Dakar, Senegal. This pregnancy is the first described with a birth of a living child having a normal birth weight without abnormal malformative thanks to the multidisciplinary follow-up nephrologist, obstetrician and neonatologist), the intensification of dialysis care, the correction of anemia, control of blood pressure and improvement of the mother status nutritional.
长期以来,慢性血液透析患者怀孕在医学上被视为禁忌,因为这可能会引发许多母体并发症。其管理对医疗团队(肾病学家、产科医生和新生儿科医生)以及患者本人来说都很繁重。我们在此报告一例在塞内加尔达喀尔马德琳诊所观察到的透析患者怀孕病例。由于多学科随访(肾病学家、产科医生和新生儿科医生)、强化透析护理、纠正贫血、控制血压以及改善母亲的营养状况,此次怀孕是首例有正常出生体重且无异常畸形的活产婴儿的报道。