Successful pregnancy while on dialysis is possible
This study actually began 10 years ago, and that’s when the first woman in one of our nocturnal dialysis programs became pregnant.
And we weren’t aware of how she would do at the time- she actually did remarkably well and carried to term.We felt that was because of intensive dialysis.
Then as the years went on, that became the protocol to dialyze women more intensively during pregnancy, and we were starting to notice outcomes that were not reported in the literature.
We went all over the globe, quite frankly, to find a control group, and were able work the Americans who had a dialysis registry in pregnancy.We were able to do head to head comparisons and it did show that in fact, being pregnant on dialysis in Canada afforded you a much better outcome than
And there’s a variety of factors that can play into that.Women on dialysis are often told pregnancy is not a possibility.Most of them have never heard that perhaps pregnancy can be a possibility.
Historically, a young woman who ended up on dialysis during the most fertile periods of her life would have a very difficult time conceiving.
And even if she conceived on dialysis, historically would be known to have a preterm baby, and notably, a poorer outcome.
And these are women who are doing remarkably well, carrying their babies largely to term and the babies are escaping long stays in the neonatal ICU, which is importantWe’re looking at a population of women who don’t really have other options.
So if you are a young woman on dialysis and you don’t have a living related donor, which means that realistically, you could be waiting many years for transplantation, you run the risk of missing your reproductive window entirely.
And in those select cases of young women, it may now be feasible to actually have a baby while on dialysis. These are a very special population of moms.