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Successful management of twin pregnancy in a woman with advanced chronic kidney disease: A case report.
- Source :
-
Medicine [Medicine (Baltimore)] 2019 Aug; Vol. 98 (33), pp. e16840. - Publication Year :
- 2019
-
Abstract
- Rationale: Twin pregnancy in women with chronic kidney disease (CKD) is very rare but poses a great risk to both mother and children. In developing countries like China, advanced CKD twin pregnancies are often terminated. Here, we report a successful case and reviewed related cases, hope to facilitate further study.<br />Patient Concerns: A 29-year-old woman with a twin pregnancy showed serum creatinine (Scr) 100 μmol/L (CKD2) at conception. During her 12th week, Scr reached 263 μmol/L (CKD4) with urine protein 3+ and hypertension.<br />Diagnoses: Due to her pregnancy, renal biopsy was not considered. Lab tests showed deterioration of renal function and ultrasound detections showed small kidney size.<br />Interventions: The patient was given basic drug therapy to control her blood pressure and supplemental nutrition without hemodialysis.<br />Outcomes: The patient delivered 2 healthy babies weighting 0.9 and 0.7 kg by cesarean section at the 28th week, but has been under maintenance hemodialysis since then.<br />Lessons: Despite low birth weight and preterm delivery, successful twin pregnancies in some patients with CKD could be realized under early multidisciplinary intervention, but this poses great risks for mothers and twins, especially for patients with advanced CKD and those on hemodialysis.
- Subjects :
- Adult
Cesarean Section
China
Creatinine blood
Female
Glucocorticoids therapeutic use
Humans
Infant, Newborn
Nifedipine therapeutic use
Prednisone therapeutic use
Pregnancy
Pregnancy Complications blood
Pregnancy Complications diagnosis
Pregnancy Complications drug therapy
Renal Insufficiency, Chronic blood
Renal Insufficiency, Chronic diagnosis
Renal Insufficiency, Chronic drug therapy
Vasodilator Agents therapeutic use
Pregnancy Complications physiopathology
Pregnancy, Twin
Renal Insufficiency, Chronic physiopathology
Subjects
Details
- Language :
- English
- ISSN :
- 1536-5964
- Volume :
- 98
- Issue :
- 33
- Database :
- MEDLINE
- Journal :
- Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 31415407
- Full Text :
- https://doi.org/10.1097/MD.0000000000016840