Pregnancy is infrequent and has complicated course in women undergoing renal replacement therapy. According to recent data, rates of conception in women on hemodialysis increased from 1.5% to 15% and 1.1% in women on peritoneal dialysis (PD). Lower rates in patients on peritoneal dialysis are due to mechanical factors on top of functional and physiological irregularities. Due to assumption of almost negligible rates of conception, pregnancy symptoms in patients with chronic kidney disease stage V can be confused with uremic symptoms. Once pregnancy is established, multilevel changes need to be made in this patient population. The coordinated care between a nephrologist, obstetrician, and nutritionist is essential for better outcomes. In this chapter, we review a near-missed but a successful case report and details of pregnancy, outcomes, and complications in women on peritoneal dialysis.
Part of the book: Some Special Problems in Peritoneal Dialysis