Successful Pregnancy in a Patient on Continuous Ambulatory Peritoneal Dialysis
Journal Name:
- Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi
Key Words:
Keywords (Original Language):
| Author Name | University of Author | Faculty of Author |
|---|---|---|
Abstract (2. Language):
A 28-year-old female patient, who had been undergoing
continuous ambulatory peritoneal dialysis (CAPD) because
of end-stage renal disease of unknown origin, presented with
secondary amenorrhea, nausea, vomiting, and anorexia and
was suspected to be pregnant. The diagnosis of pregnancy
was confirmed by ultrasonography (USG), which revealed
that she was 11 weeks pregnant. Her physical examination
was normal. Her residual Kt/Vurea was 4.38 and weekly
residual creatinine clearance was 161.97 mL/min. She came to
her routine follow-ups every month until intrauterine growth
retardation was detected by USG and her blood pressure was
found to be 170/110 mmHg while she was 35 weeks pregnant.
A Caesarean section was performed and a 1900 g healthy
baby was born. She continued CAPD after termination of
pregnancy.
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Abstract (Original Language):
Nedeni bilinmeyen son dönem böbrek yetmezliği nedeniyle
sürekli ayaktan periton diyalizi (SAPD) uygulayan 28 yaşında
kadın hasta sekonder amenore, bulantı, kusma ve iştahsızlık
yakınmalarıyla başvurdu. Hastanın gebe olduğundan
şüphelenildi. Gebelik tanısı, hastanın 11 haftalık gebe olduğunu
ortaya koyan ultrasonografi (USG) ile doğrulandı. Fizik
muayenesi normaldi. Rezidü Kt/Vüre değeri 4.38’di ve haftalık
rezidü kreatinin klirensi 161.97 mL/dk idi. Hasta 35 haftalık
gebe iken USG ile intrauterin büyüme geriliği saptanana ve kan
basıncının 170/110 mmHg bulunmasına kadar geçen sürede
aylık rutin kontrollerine geldi. Hastaya sezaryen yapıldı ve
1900 g ağırlığında sağlıklı bir bebek doğurtuldu. Gebeliğin
bitiminden sonra hasta SAPD’ye devam etti.
FULL TEXT (PDF):
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131-132