Dialysis and pregnancy: no longer the impossible
0 The Author 2016. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved
1 Department of Renal Medicine, Division of Transplantation Immunology and Mucosal Biology, Faculty of Life Sciences and Medicine
2 King's College London , London , UK
essential part of good clinical care. This does not imply, however, that early detection alone equals good clinical care and is sufficient to optimize outcomes for patients affected by AKI. The results presented in this article have not been published previously in whole or part. The authors report no conflict of interest related to the content of this article. Kate Bramham Correspondence and offprint requests to: Kate Bramham; E-mail: Pregnancy in women with renal disease provokes anxiety in nephrologists and obstetricians alike. Chronic kidney disease (CKD) is associated with some of the highest rates of adverse maternal and neonatal outcomes compared with other preexisting medical conditions in women of childbearing age. Women with advanced CKD also are at risk of disease progression, hastening the requirement for renal replacement therapy, shortening their life expectancy and potentially restricting their
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Received for publication: 20.4.2016; Accepted in revised form: 20.4.2016
Dialysis and pregnancy: no longer the impossible
ability to care for their children, who may have complex health
needs secondary to prematurity. Thus, many women with
advanced CKD have been advised strongly not to conceive [1] or
to wait for a kidney transplant before contemplating pregnancy.
Following the first live birth reported in a woman receiving
haemodialysis in 1971 [2], the number of successful pregnancy
outcomes in women with end-stage renal disease (ESRD) has
been increasing, and a recent exponential rise in reported
pregnancies is highlighted by Piccoli et al. in this issue of NDT
[3]. Ninety pregnancies in women receiving haemodialysis were
identified between 2000 and 2008 [4], and in the following
6 years an additional (...truncated)