Nursing Management of the Mother and Her Baby Undergoing Dialysis Treatment: A Case Report

Abstract

Pregnancy is extremely rare in women of fertile age who underwent dialysis program. In recent years, due to the developments in dialysis methods, improvements in patient follow-up and multidisciplinary patient approaches, the possibility of fertilization and live births after pregnancy have increased in this patient group. In this paper, follow-up of the primipar mother, who has been on dialysis for four years, dialysis treatment and the first six months of her baby's growth process were presented.

Keywords

• Infant, dialysis
• breastfeeding
• pregnancy
• nursing

Diyaliz Tedavisi Gören Anne ve Bebeğinin Hemşirelik Yönetimi: Bir Olgu Sunumu

Abstract

Diyaliz programı uygulanan doğurgan çağdaki kadınlarda gebelik son derece nadirdir. Son yıllarda diyaliz yöntemlerindeki gelişmeler, hasta takibindeki iyileşmeler ve multidisipliner hasta yaklaşımları nedeniyle bu hasta grubunda da fertilizasyon olasılığı ve gebelik sonrası canlı doğum oranları artmaktadır. Bu yazıda dört yıldır diyaliz tedavisi gören primipar annenin takipleri, diyaliz tedavisi ve bebeğinin ilk altı aylık büyüme süreci sunuldu.

Keywords

• Bebek
• Diyaliz
• Emzirme
• Gebelik
• Hemşirelik

References

1. Haninger-Vacariu N, Herkner H, Lorenz M. et al. Exclusion of pregnancy in dialysis patients: diagnostic performance of human chorionic gonadotropin. BMC Nephrology. 2020;21(70):1-10.
2. Vázquez-Rodríguez JG. Hemodialysis and pregnancy: technical aspects. Cir Ciruj. 2010;78(1):93-96.
3. Abu-Zaid A, Nazer A, AlOmar O, Al-Badawi IA. Successful Pregnancy in a 31-Year-Old Peritoneal Dialysis Patient with Bilateral Nephrectomy. Case Reports in Obstetrics and Gynecology. 2013;173405:1-5.
4. Hladunewich MA, Hou S, Odutayo A. et al. Intensive Hemodialysis Associates with Improved Pregnancy Outcomes: A Canadian and United States Cohort Comparison. J Am Soc Nephrol. 2014; 25:1103-1109.
5. Chou CY, Ting IW, Lin TH, Lee CN. Pregnancy in Patients on Chronic Dialysis: A Single Center Experience and Combined Analysis of Reported Results. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2008;136:165-170.
6. Sulaiman K, Vuppali M, Abreo K. Patient Outcome in Pregnancy Requiring Dialysis: A Case Series. The Open Urology & Nephrology Journal. 2014;7:52-55. doi: 10.2174/1874303X01407010052
7. Jesudason S, Grace BS, McDonald SP. Pregnancy Outcomes According to Dialysis Commencing Before or After Conception in Women with ESRD. Clin J Am Soc Nephrol. 2014;9:143-149. doi: 10.2215/CJN.03560413
8. Hladunewich M, Schatell D. Intensive Dialysis and Pregnancy. Hemodial Int. 2016;20(3): 339- 48. doi: 10.1111/hdi.12420

9. Kaplan YC, Uysal N, Arslan EK, Acar S, Harvey C. Emzirme döneminde ilaç kullanımı. Türk Aile Hek Derg. 2019;23(4):176-185. doi: 10.15511/tahd.19.00476
10. Balzer MS, Gross MM, Lichtinghagen R, Haller H, Schmitt R. Got Milk? Breastfeeding and Milk Analysis of a Mother on Chronic Hemodialysis. PLoS ONE. 2015;10(11): e0143340.
11. Dinelli MIS, Ono E, Viana PO, dos Santos AMN, de Moraes-Pinto MI. Growth of children born to renal transplanted women. Eur J Pediatr. 2017;176(9):1201-1207. doi: 10.1007/ s00431-017-2965-1. Epub 2017 Jul 18.
12. Sgro MD, Barozzino T, Mirghani HM, et al. Pregnancy Outcome Post Renal Transplantation. Teratology. 2002;65;5–9.