Management of the pregnant dialysis patient

Managing pregnancy in women undergoing hemodialysis requires a multidisciplinary approach involving nephrologists, obstetricians, and other healthcare professionals. Here are some key aspects of the management protocol for pregnancy in women on hemodialysis:

• Preconception Counseling:
  • Encourage women on hemodialysis who are contemplating pregnancy to undergo preconception counseling.
  • Assess and optimize the woman’s overall health, including blood pressure control, anemia management, and nutritional status.
• Medication Review:
  • Review medications to ensure that they are compatible with pregnancy.
  • Adjust or change medications as needed, avoiding teratogenic drugs.