ArticleKidney international reports2018
Risk Factors for Adverse Fetal Outcome in Hemodialysis Pregnant Women.
Article in Kidney international reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.
- I Brazilian guideline on hypertension in dialysis of the Brazilian Society of Nephrology.Jornal brasileiro de nefrologiaGuideline
- Dialysis and Pregnancy: Optimizing Therapy for Best Maternal and Fetal Outcomes.Hemodialysis international. International Symposium on Home Hemodialysis · 2026Review
- Pregnancy Outcomes and Associated Complications in Patients Undergoing Hemodialysis and Their Neonates: A Nationwide Study in South Korea (2014-2022).Journal of clinical medicine · 2026Article
- Article
- Successful twin pregnancy in a patient with lupus erythematosus on hemodialysis: a case report and literature review.BMC nephrology · 2025Review
- Personalized dialysis: use of ultrasonography as a guide for ultrafiltration in hemodialysis during pregnancy. Case reportRevista colombiana de obstetricia y ginecologia · 2025Article
- A Multinational Cohort Study of Dialysis Initiation During Pregnancy.Kidney international reports · 2025Article
- Dialysis During Pregnancy: Are We Any Closer to Clarity?Kidney international reports · 2025Article
- Pregnancy in chronic hemodialysis in a resource-limited country: case report and literature review.BMC nephrology · 2025Review
- Nurses' knowledge and perspectives on pregnancy among dialysis patients.Journal of nephrology · 2025Article
- Kidney disease and reproductive health.Nature reviews. Nephrology · 2025Review
- Use of Renal Replacement Therapy in Pregnant Women with Acute Kidney Injury or Chronic Kidney Disease: A Systematic Review.Acta medica Philippina · 2024Article
- Pregnancy outcome in a patient with end-stage kidney disease treated with an intensive automated peritoneal dialysis regimen: A case report.SAGE open medical case reports · 2024Article
- Management of Pregnancy in Persons with Kidney Failure Treated with Hemodialysis.Clinical journal of the American Society of Nephrology : CJASN · 2023Article
- Correlations between Maternal and Fetal Outcomes in Pregnant Women with Kidney Failure.Journal of clinical medicine · 2023Article
- [Outcome of neonates born to mothers with chronic kidney disease].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2023Review
- Pregnancy in women on chronic dialysis in the last decade (2010-2020): a systematic review.Clinical kidney journal · 2023Article
- Lessons for the clinical nephrologist: dialysis decisions in early pregnancy for acute kidney injury due to post-infectious glomerulonephritis (PIGN).Journal of nephrology · 2022Article
- Serum urea acid and urea nitrogen levels are risk factors for maternal and fetal outcomes of pregnancy: a retrospective cohort study.Reproductive health · 2022Article
- Parenthood With Kidney Failure: Answering Questions Patients Ask About Pregnancy.Kidney international reports · 2022Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPregnancy in women on dialysis is associated with a higher risk of adverse events, and the best care for this population remains to be established.
methodsIn this series, we aimed to identify factors associated with the risk of adverse fetal outcomes among 93 pregnancies in women on hemodialysis. Dialysis dose was initially assigned according to the presence of residual diuresis, body weight, and years on dialysis. Subsequent adjustments on dialysis dose were performed according to several parameters.
resultsThe overall successful delivery rate was 89.2%, with a dialysis regimen of 2.6 ± 0.7 h/d, 15.4 ± 4.0 h/wk, and mean weekly standard urea Kt/V of 3.3 ± 0.6. In the logistic models, preeclampsia, lupus, primigravida, and average midweek blood urea nitrogen (BUN) level were positively related to the risk of a composite outcome of perinatal death or extreme prematurity, whereas polyhydramnios was inversely related to it. In multivariable linear regression, preeclampsia, polyhydramnios, primigravida, average midweek BUN, and residual diuresis remained significantly and independently related to fetal weight, which is a surrogate marker of fetal outcome. An average midweek BUN of 35 mg/dl was the best value for discriminating the composite outcome, and BUN ≥35 mg/dl was associated with a significant difference in a Kaplan-Meier curve (
conclusionOur results showed that a good fetal outcome could be reached and that preeclampsia, lupus, primigravida, residual diuresis, polyhydramnios, and hemodialysis dose were important variables associated with this outcome. In addition, we suggested that a midweek BUN <35 mg/dl might be used as a target for adjusting dialysis dose until hard data were generated.
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