Manejo dialítico en la mujer gestante con insuficiencia renal terminal

Abstract

Introduction: pregnancy in stages 4 and 5 of chronic kidney disease is a rare and high-risk condition that can lead to both maternal and fetal complications. Although hemodialysis can improve outcomes, it is also associated with complications. Objective: the objective of the study was to define dialytic management in pregnant women with end-stage renal disease, identify possible obstetric complications without dialysis, and determine the dialysis criteria for these patients. Methodology: a review of scientific literature was conducted from 2019 to 2023, with clearly defined inclusion and exclusion criteria. Results: studies were found that indicate that managing pregnancy in women with end-stage kidney disease requires a multidisciplinary approach. Intensive dialysis is important to improve maternal-fetal outcomes, and key variables associated with fetal outcomes and birth weight were identified. Normalizing dialysis dosage to the metabolic rate and monitoring sodium intake through urine are potentially effective strategies. Conclusion: pregnancy in women with end-stage kidney disease is a challenge that can be managed through a multidisciplinary approach. Normalizing dialysis dosage to the metabolic rate and monitoring sodium intake are crucial components in managing these patients. More research is needed to optimize these dialysis strategies and criteria.