IMR Press / CEOG / Volume 43 / Issue 2 / DOI: 10.12891/ceog2079.2016

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Chronic renal failure, diabetes mellitus type-II, and gestation: an overwhelming combination
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1 Department of Obstetrics & Gynecology, Democritus University, Alexandroupolis
2 Department of Nephrology, Democritus University, Alexandroupolis (Greece)
Clin. Exp. Obstet. Gynecol. 2016, 43(2), 276–278; https://doi.org/10.12891/ceog2079.2016
Published: 10 April 2016
Abstract

This case report highlights on a child-bearer with chronic renal failure and diabetes mellitus type-II. Chronic renal failure (CRF) with diabetes mellitus (DM) type I in gestation is a rare case of a high-risk pregnancy. What is of significance though in this gestation, is that conception was achieved with the patient treated by a dialysis program. Furthermore, neither hypertension nor intrauterine growth restriction (IUGR) were detected and the patient was normotensive throughout gestation with no clinical signs of anemia. Strict and frequent application of the dialysis programs eradicates the uremic intrauterine environment, reduces the amniotic fluid volume, eliminates the chances of uterine rupture, leads to a longer gestation, increases the newborn’s birth weight, and offers an optimal fetal survival rate; this is of note mainly in patients with cesarean sections reported in their medical history. To eliminate the complications of a premature delivery, the present authors had to find the right time point to give birth to this baby taking into account lung maturity, amniotic fluid volume, and preservation of the anatomical uterine integrity.
Keywords
Chronic renal failure
Diabetes
Hypertension
Fetal growth retardation
Renal dialysis
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