Pregnancy in a patient with continuous ambulatory peritoneal dialysis

Abstract

A 24 year old woman conceived six months after starting CAPD. She showed polyhydramnios and weak reactivity of the fatus. An emergency delivery of the baby was performed. A 1, 180g baby girl was delivered by Cesarean section using the transperitoneal approach at 30 weeks and Apgar scores were 1 at 1 minute and 7 at 5 minutes. She was doing well following delivery, but died of pneumonia on the 85th day. The patient was transferred from CAPD to HD following Cesarean section. Re-insertion of the peritoneal catheter was attempted 3 weeks after the operation, but failed because of adhesion of the peritoneal cavity. It was concluded that pregnancy can be expected in patients on CAPD and that Cesarean section using the ex-peritoneal approach is essential for the continuation of CAPD after the delivery of the baby.