PREGNANCY IN PATIENTS ON CHRONIC AMBULATORY PERITONEAL DIALYSIS (CAPD): CASE REPORT

*M. Sebti, M. C. Fourati, F. Zidane, Pr. M. Yousfi and Pr S. Bargach

ABSTRACT

Peritoneal dialysis consists of an exchange between a liquid, the dialysate, and the patient's blood through the peritoneum. Pregnancy in women with end-stage renal disease (ESRD) treated with peritoneal dialysis is very rare and at high maternal-fetal risk. This markedly reduced fertility and fetal loss in dialysis patients is not well understood. This would appear to be due to the consequences of metabolic and endocrine abnormalities resulting in decreased ovulation and a hostile intrauterine environment. Pregnancy in dialysis patients is therefore a valuable pregnancy. It is also a high-risk pregnancy involving renal prognosis and therefore reduced blood pressure control with a risk of placental insufficiency leading to preeclampsia, premature delivery and an extremely low live birth rate.

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