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KMID : 0191120140290020301
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Journal of Korean Medical Science
2014 Volume.29 No. 2 p.301 ~ p.304
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Successful Pregnancy in a Patient with Autosomal Dominant Polycystic Kidney Disease on Long-Term Hemodialysis
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Jung Ji-Hye
Kim Min-Jeong
Lim Hye-Jin
Sung Su-Ah
Lee So-Young
Kim Dae-Woon
Lee Kyu-Beck
Hwang Young-Hwan
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Abstract
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Recent advances in dialysis and a multidisciplinary approach to pregnant patients with advanced chronic kidney disease provide a better outcome. A 38-yr-old female with autosomal dominant polycystic kidney disease (ADPKD) became pregnant. She was undergoing hemodialysis (HD) and her kidneys were massively enlarged, posing a risk of intrauterine fetal growth restriction. By means of intensive HD and optimal management of anemia, pregnancy was successfully maintained until vaginal delivery at 34.5 weeks of gestation. We discuss the special considerations involved in managing our patient with regard to the underlying ADPKD and its influence on pregnancy.
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KEYWORD
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Pregnancy, Renal Dialysis, Polycystic Kidney, Autosomal Dominant
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