Successful Completion of Pregnancy on Maintenance Haemodialysis: Experience from a Resource-Short Model
Published: November 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/31129.10903
Jyotish Chalil Gopinathan, Ismail Naduvileparambil Aboobacker, Sajith Narayanan, Feroz Aziz, Benil Hafeeq
1. Senior Consultant, Department of Nephrology, Meitra Hospital and IQRAA Hospital, Kozhikode, Kerala, India.
2. Senior Consultant, Department of Nephrology, Aster MIMS Hospital, Kozhikode, Kerala, India.
3. Senior Consultant, Department of Nephrology, Aster MIMS Hospital, Kozhikode, Kerala, India.
4. Senior Consultant, Department of Nephrology, Aster MIMS Hospital and IQRAA Hospital, Kozhikode, Kerala, India.
5. Senior Consultant, Department of Nephrology, Aster MIMS Hospital and IQRAA Hospital, Kozhikode, Kerala, India.
Correspondence
Dr. Jyotish Chalil Gopinathan,
2E, Malabar Palm Royale, KT Gopalan Road, Kottooli, Kozhikode-673016, Kerala, India.
E-mail: jyotish.gopinathan@gmail.com
Data pertaining to pregnancy completion on haemodialysis in Chronic Kidney Disease (CKD) patients from the developing world are scarce. We report three successfully completed pregnancies on Maintenance Haemodialysis (MHD) between January 2012 and June 2015 from two tertiary care hospitals in South India. A total of 58 women of child bearing age underwent MHD during the period of 42 months. Calculated conception rate per year was 1.47% for the period. Conception occurred in two patients while already on haemodialysis. The mean weekly duration of dialysis treatment was 18.75, 23.8 and 21 hours. Pregnancies were completed at 32, 34 and 33 weeks, with delivery of low birth weight infants 1.44, 1.27 and 2.3 Kilograms. All three patients were socioeconomically disadvantaged but could undergo enhanced dialysis with the support of locally generated funding in two cases and an insurance scheme for low income employees in the third.
[
FULL TEXT ] | [ PDF]