Abstract
At 15 weeks gestation, a 28-year-old woman (gravida 0, para 0) was first noted to have chronic renal failure with reflux nephropathy. She was immediately admitted and hemodialysis was started at 21 weeks gestation. She delivered a male infant weighing 1790g at 32 weeks (small for date). The infant was in good condition and appeared normal. Hemodialysis treatment was stopped after delivery, but her renal function gradually declined, and regular hemodialysis was started 22 months after delivery. She became pregnant and delivered a female infant weighing 2764g at 3 weeks gestation.
No congenital abnormalities were detected. The two children are developing normally and their mother continues to receive regular hemodialysis without complications.