Pregnancy in end-stage kidney disease: Great news that needs to be handled carefully

Hemodial Int. 2023 Apr;27(2):E29-E32. doi: 10.1111/hdi.13079. Epub 2023 Mar 16.


Compared to women with normal kidney function, women with end-stage kidney disease (ESKD) are much less likely to become pregnant, but more likely to have a complicated pregnancy. While renal transplantation remains the best option for women who desire to have a child, pregnancy on dialysis should be considered an option for those who may not receive a transplant during their reproductive years. Many physicians do not encounter a pregnant patient with ESKD during their nephrology training, and may not feel prepared to provide care for such patients in a busy practice. In this paper, we briefly provide an overview of the most significant practical points related to management of a pregnant patient with ESKD through a real-life case with twin pregnancy. The two key elements in management of these patients would be an intensified hemodialysis regimen and a multidisciplinary team that can provide frequent, regular, and multifaceted assessments.

Keywords: ESKD; end-stage kidney disease; kidney disease; pregnancy.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Humans
  • Kidney Failure, Chronic* / etiology
  • Kidney Failure, Chronic* / therapy
  • Kidney Transplantation* / adverse effects
  • Nephrology*
  • Pregnancy
  • Renal Dialysis / adverse effects
  • Transplants*