Guiserix J
Service de néphrologie-dialyse, Centre hospitalier Alfred Isautler, Saint-Pierre La Réunion.
Nephrologie. 1996;17(5):297-301.
Two successful pregnancies in our dialysis center bring us an opportunity to update the related treatment. The success rate of this rare event is more than 30% at the moment. Maternal morbidity is reduced through close follow up. From the second semester, it is necessary to adapt and intensify dialysis, which becomes daily. At the third quarter, full-time hospitalization, extended to a high risk pregnancy unit at first incident, must be provided. Delivery may be normal. The infant is not particularly at risk for malformation, but is 30 to 35 weeks premature; at short time, its psychomotor development seems normal. To our sense, to influence systematically on women a "voluntary" therapeutic pregnancy interruption might be qualified if, when duly informed, women wish to try and keep their child.
我们透析中心的两例成功妊娠为我们带来了更新相关治疗方法的契机。目前，这种罕见情况的成功率超过了30%。通过密切随访可降低孕产妇发病率。从孕中期开始，有必要调整并强化透析，改为每日透析。在孕晚期，必须提供全日制住院治疗，最初先安排到高危妊娠病房。分娩可能正常。婴儿出现畸形的风险并不特别高，但早产30至35周；短期内，其精神运动发育似乎正常。我们认为，如果在充分告知的情况下，女性希望尝试并留住自己的孩子，那么系统性地影响女性进行“自愿”治疗性终止妊娠可能是有道理的。
