Language

English

Publication Date

3-1-2025

Journal

Kidney Medicine

DOI

10.1016/j.xkme.2024.100950

PMID

39967826

PMCID

PMC11833626

PubMedCentral® Posted Date

12-19-2024

PubMedCentral® Full Text Version

Post-print

Abstract

Women with kidney failure experience pathophysiological changes that frequently result in disruption of the hypothalamic-pituitary-ovarian axis. Because of these hormonal disturbances, women with kidney disease often experience oligomenorrhea, amenorrhea, sexual dysfunction, and infertility. Preconception counseling, partnered with the early identification and optimal management of risk factors, such as hypertension and discontinuation of teratogenic medications, should be pursued for females contemplating conception. Pregnancy in women receiving maintenance dialysis is associated with a high risk of adverse maternal and fetal outcomes and should be managed by a multidisciplinary team of providers. In this review article, we discuss pregnancy incidence, pregnancy outcomes, and management of pregnancy among women receiving maintenance dialysis.

Keywords

Dialysis, pregnancy, outcomes, end-stage kidney disease, management

Published Open-Access

yes

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