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Dialysis

Intensifying dialysis to optimize pregnancy outcome

Nature Reviews Nephrology volume 5, page 430 (2009)Cite this article

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Asamiya, Y. et al. The importance of low blood urea nitrogen levels in pregnant patients undergoing hemodialysis to optimize birth weight and gestational age. Kidney Int. 75, 1217–1222 (2009).

Low blood urea nitrogen (BUN) concentrations and increased hemoglobin levels are the key to optimum fetal outcomes in pregnant women on hemodialysis, suggests a Japanese single-center study. “Increased or intensive dialysis to achieve predialysis maternal BUN levels <48 mg/dl [17 mmol/l] along with increased doses of erythropoietin to ensure maternal hemoglobin levels ≥9.6 ± 0.9 g/dl [96 ± 9 g/l] should be the standard for pregnant women on hemodialysis,” say Sai Subhodhini Reddy and Jean L. Holley in an accompanying commentary in Kidney International.

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Authors
  1. Chloë Harman
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Harman, C. Intensifying dialysis to optimize pregnancy outcome. Nat Rev Nephrol 5, 430 (2009). https://doi.org/10.1038/nrneph.2009.106

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