Pregnancy complicated by acute renal failure requiring hemodialysis.

The goal of a successful, full-term vaginal birth of a healthy infant was achieved while avoiding acidosis, hyperkalemia, and fluid overload in this pregnant patient with ARF. Acting in a prudent manner to prevent potential life-threatening complications was of paramount importance in this patient whose etiology of renal failure was uncertain. In the case of the pregnant patient, an ultrasound may not be as valuable a diagnostic tool when the enlarged gravid uterus cannot allow complete visualization of the ureters. Interdepartmental collaboration in the case of this challenging patient resulted in a mutual learning experience, while ensuring a safe delivery for both mother and child. Additionally, by working together, the professional staff enhanced the patient's ability to meet the expected outcomes.