Abstract
We report a case of successful pregnancy and delivery in a chronic hemodialysis patient. A 34-year-old woman undergoing hemodialysis for eight years, found to be 5 weeks pregnant, was admitted because of threatened premature labor. Hemodialysis was carried out to maintain predialysis levels of BUN and Cr below 60mg/dl and 8mg/dl, respectively. Hematocrit was maintained above 30% by using recombinant human erythropoietin. To prevent premature labor, β-stimulants were administered to the patient after the 15th gestational week. We experienced longterm treatment with intravenous ritodrine hydrochloride and magnesium sulfate in a renal failure patient. As a result, the pregnancy was majntained until the 32th week without severe complications, and she delivered a boy weighing 1, 700g by caesarean section. The baby's Apgar score was 7 points and his general condition was good.
We consider the successful pregnancy and delivery in this patient to have been achieved due to appropriate management with tocolytic agents. The protocols for employing tocolytic agents, i.e., ritodrine hydrochloride and magnesium sulfate, in this patient are thus described herein.
