Pregnancy in peritoneal dialysis and an infant with a ventricular septal defect

Abstract EN

Fertility is markedly reduced in dialysis patients.

Estimates of the frequency of conception in dialysis patients range from 1.4% per year in Saudi Arabia to 0.5 % in the United States.

The reasons for the rarity of pregnancy in dialysis patients are not well understood.

In addition, there is a marked increase in the risk of pre-eclampsia, hydramnios, hypertension crisis, early uterine contractions and pre-term delivery.

Herein, we report a 38-year-old Saudi woman with chronic renal failure who completed the full term of pregnancy uneventfully on peritoneal dialysis.

Using a biocompatible dialysate solution, adequate metabolic and blood pressure control were achieved during pregnancy.

The delivered infant was small for gestational age and was born with a ventricular–septal defect.

To the best of our knowledge, this is the first case report in the literature of ventricular–septal defect in an infant born to a mother on peritoneal dialysis.