Home Hemodialysis during Pregnancy
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Abstract & Keywords
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Comments: Abstract not applicable.
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Discussion & Conclusion
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Comments: The Discussion establishes that for pregnant women with end-stage kidney disease (ESKD) intensification of both length and frequency of hemodialysis is necessary to reduce the risk of preterm delivery and low birth weight. To reach such an intensive hemodialysis programme, home hemodialysis (HHD) under the control of experienced multidisciplinary staff throughout the pregnancy should be performed. The study recommends fetal and maternal monitoring should be done once weekly from 26 weeks onwards and planned induction for the delivery. Relevant literature has been cited to support the discussion. The study concludes that pregnancies under hemodialysis have a much better prognosis when the duration and frequency of hemodialysis is intensified.
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Comments: Except the following error was detected:
1. The phrase “ultrasound-Doppler” in the 5th sentence under the Case Report subheading was not framed properly and should be replaced with “Doppler ultrasound”.
Further comments on the paper
Comments: The letter to the editor presents the case of the successful outcome of a pregnancy in a 36-year-old patient, G2P1, suffering from type 1 diabetes with end-stage kidney disease (ESKD) mainly managed with intensive home hemodialysis (HHD) throughout pregnancy. She had a medical history of normal vaginal delivery at 36 weeks for preeclampsia before ESKD. Pregnancy in women with ESKD and dialysis is a challenge which demands specific management. The postpartum outcome was unremarkable for both mother and infant and they were discharged on day 4. The study concludes that pregnancies under hemodialysis have a much better prognosis when the duration and frequency of hemodialysis is intensified. To reach such an intensive hemodialysis programme, HHD under the control of experienced multidisciplinary staff throughout the pregnancy should be performed.
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A: Yes - Suitable to be published
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Corresponding AuthorCorinne Hubinont
Department of Obstetrics, Cliniques Universitaires Saint Luc, Brussels, Belgium
Article TypeLetter to the Editor
Publication historyReceived: Mon 24, May 2021
Accepted: Tue 08, Jun 2021
Published: Wed 23, Jun 2021
Copyright© 2023 Corinne Hubinont. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.