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KMID : 0882419930450050681
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Korean Journal of Medicine
1993 Volume.45 No. 5 p.681 ~ p.685
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Successful Pregnancy in a Patient Undergoing Continuous Ambulatory Peritoneal Dialysis
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최승옥
김승률/여경구/홍희승/원영준/이광훈/정인배
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Abstract
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dvances medical cares for end-stage renal disease(ESRD), CAPD and renal transplatation have led to an extended life span for patients with ESRD. Despite these advanced, patients with ESRD have an exceedingly poor reprductive capacity. There are
high
incidence of infertilities, spontaneous abortions and still births.
CAPD has been increasingly popular management tool for paitent with ESRD and has
advantages over hemodialysis in the management of pregnant patient. The fetus faces a more
constant uterine environment without rapid shifts in fluids, solutes and electrocritis. The
patients as a population have higher hematocrits and hypotensive episodes are less frequent.
Recently we had experienced a case of successful pregnancy in patient with ESRD
undergoing CAPD. This is the first case in korea.
A 25-year-old woman had been undergoing CARD for 5 months became pregnant. Her
blood pressure was controlled in the 144±11 mmHg systolic and 97±8 mmHg diastolic range
with 40 mg/day of hydralazine and 500 mg/day of methyldopa. Her mean serum BUN and
creatinine during pregnancy were 31±10 mg/dl and 3.7±1.1 mg/dl, respectively.
A female infant was delivered by normal spontaneous vaginal delivery at 37 weeks
gestation with APGAR score of 7 and 9 at 1 and 5 minutes, respetively and birth weight was
2.1 kg. There was no obstetric or neonatal complication. At the 3 months follow-up the
baby's growth and development are normal.
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