Chronic kidney disease in pregnancy requiring first-time dialysis

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dc.contributor.author Sato, Jussara L. [UNIFESP]
dc.contributor.author De Oliveira, Leandro [UNIFESP]
dc.contributor.author Kirsztajn, Gianna M. [UNIFESP]
dc.contributor.author Sass, Nelson [UNIFESP]
dc.date.accessioned 2016-01-24T14:05:31Z
dc.date.available 2016-01-24T14:05:31Z
dc.date.issued 2010-10-01
dc.identifier http://dx.doi.org/10.1016/j.ijgo.2010.04.029
dc.identifier.citation International Journal of Gynecology & Obstetrics. Clare: Elsevier B.V., v. 111, n. 1, p. 45-48, 2010.
dc.identifier.issn 0020-7292
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/32955
dc.description.abstract Objective: To report on the treatment and outcome of pregnancy in 29 women with chronic kidney disease (CKD), 24 of whom had moderate or severe renal dysfunction. Methods: Renal dysfunction at the onset of pregnancy was stratified: serum creatinine <= 1.4 mg/dL was defined as mild; 1.5-2.5 mg/dL was defined as moderate; and >2.5 mg/dL was defined as severe renal insufficiency. Clinical complications and perinatal outcomes were evaluated. Results: the average serum creatinine level at the beginning of pregnancy was 3.32 mg/dL (range, 1.2-7.1 mg/dL), and the average urine protein level was 1.51 g in 24 hours (range, 0.1-5.6 g in 24 hours). Dialysis therapy was necessary for 1 woman with mild renal dysfunction, 4 patients with moderate renal dysfunction, and 17 patients with severe renal dysfunction. Conclusion: the use of dialysis in pregnancy among women with moderate or severe renal dysfunction proved to be useful, but many patients became dependent on dialysis. It is not known whether this was due to the interaction between pregnancy and advanced CKD. (C) 2010 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved. en
dc.format.extent 45-48
dc.language.iso eng
dc.publisher Elsevier B.V.
dc.relation.ispartof International Journal of Gynecology & Obstetrics
dc.rights Acesso restrito
dc.subject Chronic kidney disease en
dc.subject Dialysis en
dc.subject Pregnancy en
dc.title Chronic kidney disease in pregnancy requiring first-time dialysis en
dc.type Artigo
dc.rights.license http://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Universidade Federal de São Paulo, Dept Obstet, BR-04024002 São Paulo, Brazil
dc.description.affiliation Universidade Federal de São Paulo, Dept Med, Div Nephrol, BR-04024002 São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Dept Obstet, BR-04024002 São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Dept Med, Div Nephrol, BR-04024002 São Paulo, Brazil
dc.identifier.doi 10.1016/j.ijgo.2010.04.029
dc.description.source Web of Science
dc.identifier.wos WOS:000282735100011



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