Introduction:
kidney disease impacts on fertility, increasing numbers of pregnancies are reported in women on dialysis the last decade, in numbers and positive outcomes. Pregnancies on dialysis remain high risk with increased rates of adverse pregnancy outcomes, complicated procedures, including many dangers for the mother and the foetus. The prevalence of chronic kidney disease (CKD) in women of reproductive age continues to rise, and 15% of all affected individuals worldwide are diagnosed before the age of 50 (Bhaduri et al., 2022).
Methods:
A search was performed in the electronic databases (Pubmed, Google Scholar and CINAHL) for articles, which were published in the period 2013-2024 in English, Greek or German. The inclusion criteria that were applied included (a) the publication date had to be between 2013 and 2024, (b) the languages were Greek, English, or German, (c) both qualitative and quantitative studies were included. To achieve a final list of related studies, a broad literature search was conducted to identify abstracts that met the inclusion criteria.
Results:
The precautions that must be taken are the maintenance of low levels of pre-dialysis urea, the adequacy of the tension profile, the control of anaemia and care to avoid infections, nutritional deficits, changes in phosphorus-calcium metabolism and electrolytic fluctuations. A multidisciplinary approach is very important because of the high probability of maternal and foetal complications. The improvement in results recorded with daily, extended hours dialysis.
Conclusions:
High serum urea concentrations have been proven to be responsible for many pregnancy complications. Studies revealed an improvement in live births, in gestational age at delivery and in birth weight with intensive HD schedules (36 vs. 20 hours/week).
I have no potential conflict of interest to disclose.
I did not use generative AI and AI-assisted technologies in the writing process.