ArticleJournal of the American Society of Nephrology : JASN2026
Severe Maternal Morbidity and Long-Term Kidney Outcomes among Pregnant Women Receiving Maintenance Dialysis.
Article in Journal of the American Society of Nephrology : JASN, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Transplantation and Mortality in Women After Delivering on Hemodialysis.Kidney international reports · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
key pointsIn the United States, one in three pregnant women receiving maintenance dialysis experienced severe maternal morbidity from 2000 to 2020. History of severe maternal morbidity was associated with higher mortality and a longer time to kidney transplantation in the years following delivery.
backgroundPregnant women receiving maintenance dialysis are at high risk for adverse pregnancy outcomes. Little is known about their rates of severe maternal morbidity and the association of severe maternal morbidity with future kidney transplant wait times and mortality.
methodsThis is a cohort study of women who gave birth while receiving maintenance dialysis from January 1, 2000, to December 31, 2019, as captured in the United States Renal Data System. Nonkidney severe maternal morbidity, defined by the US Centers for Disease Control and Prevention, was assessed from 4 weeks before birth to 6 weeks postpartum. Multivariable regression models examined risk factors independently associated with severe maternal morbidity. Multivariable Cox proportional hazards were stratified by the presence or absence of severe maternal morbidity to examine time to mortality, and, separately, the receipt of a kidney transplant.
resultsWe identified 1082 births among 986 women who were receiving dialysis at the time of birth. In total, 332 women (34%) and 342 births (32%) experienced at least one nonkidney severe maternal morbidity. The most common severe maternal morbidity events were blood transfusion (16% of all births), pulmonary edema/acute heart failure (10%), sepsis (6%), and acute respiratory distress syndrome (5%). In multivariable analyses, risk factors independently associated with severe maternal morbidity included Black or other/unknown race, body mass index >35 kg/m 2 , and dialysis initiation within 1 year before giving birth. Patients who experienced severe maternal morbidity had a higher risk of mortality than those who did not (adjusted hazard ratio, 1.69; 95% confidence interval, 1.30 to 2.19) and were less likely to receive a kidney transplant than those who did not (adjusted subhazard ratio, 0.76; 95% confidence interval, 0.59 to 0.97).
conclusionsIn the United States, one in three pregnant women receiving maintenance dialysis experienced severe maternal morbidity with risk factors that included recent dialysis initiation. In the following years, the history of severe maternal morbidity was associated with higher mortality and a longer time to kidney transplantation.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.