IMR Press / CEOG / Volume 47 / Issue 4 / DOI: 10.31083/j.ceog.2020.04.5233
Open Access Case Report
Pregnancy in a peritoneal dialysis patient undergoing intermittent peritoneal dialysis during the third trimester of pregnancy: a case report and literature review
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1 Department of Nephrology, Shenzhen Second People's Hospital and the First Affiliated Hospital of Shenzhen University, Shenzhen 518000, P.R. China
*Correspondence: (QIJUN WAN)
Clin. Exp. Obstet. Gynecol. 2020, 47(4), 596–599;
Submitted: 28 April 2019 | Accepted: 20 June 2019 | Published: 15 August 2020
Copyright: © 2020 Chang et al. Published by IMR press.
This is an open access article under the CC BY 4.0 license

For patients undergoing peritoneal dialysis (PD), the rate of successfully carrying a pregnancy to term is low. Herein, we describe the pregnancy course of a patient with end-stage renal disease on peritoneal dialysis. The information presented may make better undestanding in the knowledge and management of such high-risk pregnancies in this patient population. We report the successful completion of pregnancy in a patient who underwent continuous ambulatory peritoneal dialysis (CAPD) and then switched to intermittent peritoneal dialysis (IPD) during her third trimester. She became pregnant after undergoing CAPD for almost 1 year, using four 1.5 L exchanges of 1.5% bags per day. At 30 weeks of gestation, she switched from CAPD to IPD, using six 0.5 L exchanges of 1.5% bags per day with daily ultrafiltration of 100-300 mL. Her total Kt/V was 1.72 (dialysate 1.2, residual kidney 0.5) during her first and second trimesters and her total Kt/V decreased to 1.63 (dialysate 1.15, residual kidney 0.48) during her third trimester. She was admitted to our hospital at 35 weeks of gestation for a planned lower segment caesarian section. We report the successful completion of pregnancy in a patient on IPD. We have shown that rather than pursuing an adequate weekly default value of Kt/V, the most important criterion for the optimization of dialysis treatment for pregnant patients is their medical condition.

Intermittent peritoneal dialysis
Chronic kidney disease
201605008/Health and Family Planning Commission of Shenzhen Municipality
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