Can a woman on dialysis become pregnant?
It is possible but high-risk. Intensive dialysis schedules and close monitoring are needed, and outcomes are better in specialized centres.
Treatment
Pregnancy and kidney disease
Risks, monitoring, and care planning for pregnant women with kidney conditions in India.
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Short Answer
Pregnancy with kidney disease requires close coordination between a nephrologist and obstetrician, as CKD increases risks of preeclampsia, preterm delivery, and accelerated kidney function decline.
Medical Facts
- Women with CKD have higher rates of preeclampsia, fetal growth restriction, and preterm birth.
- Certain kidney medications (ACE inhibitors, ARBs) must be stopped before or during pregnancy due to fetal toxicity.
- Kidney transplant recipients can have successful pregnancies but need medication adjustments and close monitoring.
Treatment or Donation Options
- Plan pregnancy in advance with your nephrologist to optimize kidney function and adjust medications.
- Ensure joint follow-up between nephrology and high-risk obstetrics throughout pregnancy.
- Monitor blood pressure, proteinuria, and kidney function more frequently during pregnancy.
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