N.R. GATIYATULLIN¹, M.I. KHASANOVA^1, 2, 3, E.I. PROKOPENKO^4, 5, I.N. SHESTERIKOVA⁶, R. DAVHALE¹, I.R. GARIFZYANOV¹, S.V. KASHAPOVA⁷, M.S. SHITOVA²

 ¹Republican Clinical Hospital, Kazan

²Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, Kazan

³Institute of Fundamental Medicine and Biology of Kazan Federal University, Kazan

⁴Moscow Regional Research and Clinical Institute named after M.F. Vladimirskiy (MONIKI), Moscow

⁵Moscow Regional Research Institute of Obstetrics and Gynecology (MONIIAG), Moscow

⁶Zakamye Dialysis Clinic, Nabereznye Chelny

⁷Nephrology Centre, Kazan

 Contact details:

Gatiyatullin N.R. — Head of the Department of Hemodialysis

Address: 138 Orenburgskiy trakt, Kazan, Russian Federation, 420064, tel.: +7 (843) 231-21-38, e-mail: nail99@yandex.ru

The article presents a description of a clinical case of pregnancy management and successful delivery at 37 weeks in a patient who had been receiving program hemodialysis for 17 years. Pregnancy was unexpectedly discovered at 6–7 weeks; intensive hemodialysis was performed 6 times a week during gestation. There are certain difficulties in managing pregnancy in women receiving program hemodialysis, however, a favorable outcome is possible with the coordinated work of a multidisciplinary medical team.

Key words: hemodialysis, pregnancy, chronic kidney disease.

REFERENCES

1. Nadeau-Fredette A.C. et al. End-stage renal disease and pregnancy. Adv Chronic Kidney Dis, 2013, vol. 20, pp. 246–252.
2. Rukovodstvo po dializu. 5-e izdanie, red. D. Daugirdas, P. Bleyk i T. Ing [Dialysis Handbook. 5th edition, edited by D. Daugirdas, P. Blake, and T. Ing]. Tver: OOO “Izd-vo “Triada”, 2019. Pp. 683–684.
3. Prokopenko E.I., Nikol’skaya I.G., Rybakova O.B., Novikova S.V., Upryamova E.Yu. Successful pregnancy of a patient on program hemodialysis awaiting kidney transplant. Al’manakh klinicheskoy meditsiny, 2017, no. 45 (7), pp. 599–604 (in Russ.). DOI: 10.18786/2072-0505-2017-45-7-599-604
4. Piccoli G.B., Postorino V., Cabiddu G., Ghiotto S., Guzzo G., Roggero S. et al. ‘Kidney and Pregnancy Study Group’ of the ‘Italian Society of Nephrology’; ‘Kidney and Pregnancy Study Group’ of the ‘Italian Society of Nephrology’. Children of a lesser god or miracles? An emotional and behavioural profile of children born to mothers on dialysis in Italy: a multicentre nationwide study 2000-12. Nephrol. Dial. Transplant, 2015, vol. 30 (7), pp. 1193–1202. DOI: 10.1093/ndt/gfv127
5. Galeev R.Kh., Gatiyatullin N.R., Khasanova M.I., Galeev Sh.R., Ravikant D., Fakhrutdinova L.I. Pregnancy in women on renal replacement therapy. Prakticheskaya meditsina, 2015, vol. 1, no. 89, pp. 34–37 (in Russ.).