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Is a dialysis patient pregnant? The kidney is one of the most important organs of the human body; It works to purify your body from all kinds of toxins, in addition to eliminating all kinds of waste inside the body. But! Because life is not described for anyone, some people suffer from several diseases that hinder their lives, and perhaps one of these diseases is kidney failure.
The risks of pregnancy with dialysis and the prevention of premature birth as advised by doctorsاط
What you need to know about pregnancy and childbirth for kidney disease
Are you carrying a dialysis patient?
Doctors generally do not recommend pregnancy for dialysis patients; It represents a high-risk pregnancy; The kidneys are unable to perform their task properly.
Due to the low efficiency of the kidneys, the body contains a higher level of waste products and toxins, in addition to the body containing additional waste products produced by the fetus during pregnancy, which further complicates the matter.
During pregnancy, the kidneys have to work extra to get rid of all those toxins in the blood that come from the mother and her baby. How can she rid the body of all that waste? That’s it!
Studies have proven that a very small percentage of women who undergo dialysis can successfully conceive safely, while the vast majority of women have difficulty conceiving, because the incidence of various kidney diseases reduces the production of eggs.
Kidney failure and pregnancy
Unfortunately, having chronic kidney failure increases the chance that the fetus will not develop normally or be stillborn, and acute kidney failure prevents the pregnancy from continuing.
Women with kidney disorders face many challenges during their pregnancy journey. This is due to the increase in the required physiological functions of the kidneys; This often leads to preeclampsia.
Fortunately, pregnancy does not often worsen kidney disorders, except for women who have high blood pressure.
Are you carrying a dialysis patient and what to do
Need more care and attention. You must communicate extensively and regularly with the health care team
Which includes an obstetrician who specializes in high-risk pregnancy, a nephrologist, a dialysis nurse, a pediatrician who specializes in preterm birth, and a dietitian
The stages of pregnancy and the baby should be constantly monitored by ultrasound to identify and treat problems early.
Many kidney patients have high blood pressure, which may get worse in pregnancy and often leads to miscarriage or premature birth.
The mother’s blood pressure must be closely monitored on a permanent basis, because the pressure can rise during pregnancy and cause problems for her and her baby.
The expectant mother should take extra vitamins, eat a high-protein diet and avoid alcohol and tobacco.
Recommended reading: Intensive dialysis for pregnant women promotes maternal and child health
How often should a patient undergo dialysis during pregnancy?
- Hemodialysis should be increased to five or six times a week, as suggested by the attending physician.
- More dialysis sessions benefit the mother and baby because daily dialysis is similar to healthy kidney function. Blood pressure control is better with daily dialysis.
- Daily dialysis allows the expectant mother to enjoy a varied and healthy diet. Eating a healthy, nutrient-dense diet during pregnancy is extremely important.
- The requirements for protein, vitamins and minerals, especially folic and iron, are increased. And an extra 300 calories a day you need during the second and third trimesters
- Pregnant women should work with a renal dietitian to assess nutritional needs and come up with an ideal diet plan.
- If the woman is in a dialysis center, it is recommended that she work with the health care team to increase the dialysis sessions.
- You may want to switch to a short daily dialysis program. It is recommended that you increase your dialysis sessions so that your blood becomes clean daily.
- Pregnant women with dialysis are advised to follow up with an ultrasound device to monitor the growth of the child and identify and treat any problems early.
- Peritoneal dialysis is also a solution for pregnant women although some women may experience discomfort due to the growing baby and intra-abdominal peritoneal dialysis catheters.
- catheter Peritoneal dialysis It is not harmful to the baby and can be applied at any time during pregnancy. If a pregnant woman chooses peritoneal dialysis
- The doctor may decide that you complete treatment with hemodialysis peritoneal dialysis to ensure that her blood is cleaned as thoroughly as possible.
Types of kidney failure
First: Acute renal failure: which leads to rapid deterioration of kidney function, and is the least common.
Second: Chronic renal failure: which leads to a gradual and long-term deterioration of kidney function, and is the most common.
Chronic renal failure affects 1 in 10 adults, particularly in women; As it has so far infected more than 195 million women worldwide, in addition to being the eighth cause of death worldwide.
Causes of chronic kidney failure
Chronic kidney failure occurs as a result of impaired and decreased kidney function over months and years.
There are many causes of kidney failure, or what is known as chronic kidney failure, and these reasons include:
- Having diabetes.
- Hypertension.
- Inflammation of the renal tubules.
- Urinary tract infections.
- Kidney stones.
- DNA.
Symptoms of kidney failure
The signs and symptoms of kidney disease are often non-specific; Being that it is also likely to occur in several other diseases,
This is due to the kidney’s remarkable ability to adapt and compensate for lost functions, so signs and symptoms are not likely to appear until the damage is irreversible.
Symptoms of kidney failure include:
- nausea;
- vomiting;
- Anorexia.
- Sleep disorders.
- shortness of breath.
- Hypertension.
- chest pain;
- Impaired fertility.
- difficulty getting pregnant
Kidney transplant and safe pregnancy
A woman regains normal fertility after a successful kidney transplant, so it may be easier to have a safe and regular pregnancy and have healthy babies.
However, before initiating pregnancy, it is necessary to wait until you have fully and completely recovered; Therefore, pregnancy is not recommended for at least one year after a kidney transplant.
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