Main Article Content
Abstract
RÉSUMÉ
La survenue d'une grossesse en hémodialyse chronique est rare et son issue est fréquemment défavorable, notamment en Afrique où les moyens thérapeutiques sont le plus souvent limités. Nous rapportons ici un cas de grossesse réussie chez une hémodialysée chronique au centre d’hémodialyse de Yamoussoukro en Côte d’Ivoire. Cette observation est la première décrite avec une naissance d’un enfant vivant ayant un poids de naissance normal sans anomalie malformative grâce à la maitrise de la pression artérielle, l’intensification des séances d’hémodialyse, la correction de l’anémie et à la collaboration des gynéco-obstétriciens.
ABSTRACT
The occurrence of a pregnancy in chronic hemodialysis is rare and its outcome is frequently unfavourable, especially in Africa where the therapeutic means are most often limited. We report here a case of successful pregnancy in a chronic hemodialysis patient at the Yamoussoukro hemodialysis center in Côte d'Ivoire. This observation is the first described with a birth of a living child with a normal birth weight without any malformative abnormality thanks to the control of blood pressure, the intensification of hemodialysis sessions, the correction of anemia and the collaboration of gynecologists-obstetricians.
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References
- - Levy DP, Giatras I, Jungers P: Pregnancy and End stage renal disease - past experience and new insights. Nephrol Dial Transplant 1998, 13:3005-3007 ;DOI : https://doi.org/10.1093/ndt/13.12.3005
- - Confortini P, Galanti G, Ancona G, Giongo A, Bruschi E, Lorenzini E. Full term pregnancy and sucessful delivery in a patient on chronic haemodialysis. Proc Eur Dial Transplant Assoc.1971; 8: 74-80. PubMed | Google Scholar
- - Hadj Sadek B, Kejji S, Rhou H et al. Pregnancy in chronic hemodialysis patients. J Gynecol Obstet Biol Reprod (Paris)2011;40:452–459 ;DOI : https://doi.org/10.1016/j.jgyn.2011.04.003
- - C.A. Raharivelina, L. Narindra Randriamanantsoa, D. Vololontiana, J. Ralaifonenana, Hémodialyse et grossesse: à propos d’une observation. Néphrologie 2003 ; 24 , (6) : 281-284. | Google Scholar
- -Yattara H, Samaké M, Sy S, Diallo D, Coulibaly N, Djiguiba K, Fofana AS, Coulibaly S, Touré A, Coulibaly M, DIALLO O, FongoroS, Diouf B. Grossesse au cours de l’hémodialyse chronique : à propos d’un cas. Mali Médical 2019 ; Tome XXXIV, n°1 : 53-8.
- - Hanen Chaker, Slim Masmoudi, Salma Toumi, Najla Dammak, Jamil Hachicha, Khawla Kammoun, Soumaya Yaich, Mohamed Ben Hmida. La grossesse en hémodialyse chronique: à propos de 25 cas survenus dans le Sud Tunisien. Pan African Medical Journal ;2020 ,36 (195) : 1-11.
- -Bouchra Doukkali1, Abdelaali Bahadi1, Hicham Rafik1, Driss Kabbaj1. La grossesse chez les hémodialysées chroniques. Pan African Medical Journal. 2015; 20:213
- - GB Piccoli, F Minelli, E Versino, G Cabiddu, Pregnancy in dialysis patients in the new millennium: A systematic review and meta-regression analysis correlating dialysis schedules and pregnancy outcomes. Nephrol Dial Transplant (2016) 31: 1915–34; DOI: https://doi.org/10.1093/ndt/gfv395
- -Claudio Luders, Silvia Maria Titan, Soubhi Kahhale, Rossana Pulcineli Francisco. Risk Factors for Adverse Fetal Outcome in Hemodialysis Pregnant Women. Kidney Int Rep .2018; 3, 1077–1088
- - Davison JM. Dialysis, Transplantation and Pregnancy. Am J Kidney Dis. 1991; 17(2): 127-132; DOI: https://doi.org/10.1016/S0272-6386(12)81116-4
- - Potluri K, Moldenhauer J, Karlman R, Hou S. Beta HCG levels in a pregnant dialysis patient: A cautionary tale. NDT Plus. 2011 ; 4 (1) : 42-3 ; DOI : https://doi.org/10.1093/ndtplus/sfq195
- - Cabiddu G, Castellino S, Gernone G, et al. Best practices on pregnancy on dialysis. J Nephrol 2015;28:279-88; DOI: 10.1007/s40620-015-0191-3
- - Werner EF, Han CS, Pettker CM, et al. Universal cervicallength screening to prevent preterm birth: A cost effectiveness analysis. Ultrasound Obstet Gynecol. 2011;38:32–37; DOI: https://doi.org/10.1002/uog.8911
- - Shemin D. Dialysis in Pregnant women with chronic kidney disease. Seminars in Dialysis. 2003; 16(5): 379-383; DOI: https://doi.org/10.1046/j.1525-139X.2003.16084_1.x
- - A. Bahadia, D. Montasserb, G. Salekc, R. Hafidic, M. Hassanic, M.El Allamb, M. Benyahiab, D. Elkabbajb, Z. Oualimb. La grossesse en hémodialyse : 11 ans d’expérience. Néphrologie et Thérapeutique ; 2011 (7) : p316.
- -HOU S, Orlowski J, Pahl M. Pregnancy in women with end-stage renal disease: treatment of anemia and premature labor. Am J Kidney Dis 1993; 21: 16-22; DOI: https://doi.org/10.1016/S0272-6386(12)80714-1
- - M.B. Le Stang, X. Belenfant. Grossesse chez la patiente en dialyse chronique : étude d’une cohorte francilienne. Néphrologie & Thérapeutique ; 2015 ; 11 :236-7.
- - M. Panayea, A. Jolivota, F. Guebre-Egziabhera, J. Bacchettab, M. Doretc, L. Juillarda. Grossesse en hémodialyse : étude d’une série de 24 cas. Néphrologie & Thérapeutique, 2013 ; (9) : p267
- - Registration committee of the EDTA. Successful pregnancy in women treated by dialysis and kidney transplantation. Br J obstetGynecol 1980. 8: 839-845 ; DOI :
- https://doi.org/10.1111/j.1471-0528.1980.tb04434.x
- -Abbassi H, Salah-Eddine A, Jersifi H. Insuffisance rénale chronique et grossesse. Gynecol Obstet Fertil 2001;29;106-115;DOI: https://doi.org/10.1016/S1297-9589(00)00063-1
- -Okundaye I, Abrinko P, Hou S: Registry of pregnancy in 95dialysis patients. Am J Kidney Dis 1998; 31: 766–773; DOI: https://doi.org/10.1016/S0272-6386(98)70044-7
- -Barua M, Hladunewich M, Keunen J et al. Successful pregnancies on nocturnal home hemodialysis. Clin J Am Soc Nephrol 2008; 3: 392–396; DOI: https://doi.org/10.2215/CJN.04110907
References
- Levy DP, Giatras I, Jungers P: Pregnancy and End stage renal disease - past experience and new insights. Nephrol Dial Transplant 1998, 13:3005-3007 ;DOI : https://doi.org/10.1093/ndt/13.12.3005
- Confortini P, Galanti G, Ancona G, Giongo A, Bruschi E, Lorenzini E. Full term pregnancy and sucessful delivery in a patient on chronic haemodialysis. Proc Eur Dial Transplant Assoc.1971; 8: 74-80. PubMed | Google Scholar
- Hadj Sadek B, Kejji S, Rhou H et al. Pregnancy in chronic hemodialysis patients. J Gynecol Obstet Biol Reprod (Paris)2011;40:452–459 ;DOI : https://doi.org/10.1016/j.jgyn.2011.04.003
- C.A. Raharivelina, L. Narindra Randriamanantsoa, D. Vololontiana, J. Ralaifonenana, Hémodialyse et grossesse: à propos d’une observation. Néphrologie 2003 ; 24 , (6) : 281-284. | Google Scholar
-Yattara H, Samaké M, Sy S, Diallo D, Coulibaly N, Djiguiba K, Fofana AS, Coulibaly S, Touré A, Coulibaly M, DIALLO O, FongoroS, Diouf B. Grossesse au cours de l’hémodialyse chronique : à propos d’un cas. Mali Médical 2019 ; Tome XXXIV, n°1 : 53-8.
- Hanen Chaker, Slim Masmoudi, Salma Toumi, Najla Dammak, Jamil Hachicha, Khawla Kammoun, Soumaya Yaich, Mohamed Ben Hmida. La grossesse en hémodialyse chronique: à propos de 25 cas survenus dans le Sud Tunisien. Pan African Medical Journal ;2020 ,36 (195) : 1-11.
-Bouchra Doukkali1, Abdelaali Bahadi1, Hicham Rafik1, Driss Kabbaj1. La grossesse chez les hémodialysées chroniques. Pan African Medical Journal. 2015; 20:213
- GB Piccoli, F Minelli, E Versino, G Cabiddu, Pregnancy in dialysis patients in the new millennium: A systematic review and meta-regression analysis correlating dialysis schedules and pregnancy outcomes. Nephrol Dial Transplant (2016) 31: 1915–34; DOI: https://doi.org/10.1093/ndt/gfv395
-Claudio Luders, Silvia Maria Titan, Soubhi Kahhale, Rossana Pulcineli Francisco. Risk Factors for Adverse Fetal Outcome in Hemodialysis Pregnant Women. Kidney Int Rep .2018; 3, 1077–1088
- Davison JM. Dialysis, Transplantation and Pregnancy. Am J Kidney Dis. 1991; 17(2): 127-132; DOI: https://doi.org/10.1016/S0272-6386(12)81116-4
- Potluri K, Moldenhauer J, Karlman R, Hou S. Beta HCG levels in a pregnant dialysis patient: A cautionary tale. NDT Plus. 2011 ; 4 (1) : 42-3 ; DOI : https://doi.org/10.1093/ndtplus/sfq195
- Cabiddu G, Castellino S, Gernone G, et al. Best practices on pregnancy on dialysis. J Nephrol 2015;28:279-88; DOI: 10.1007/s40620-015-0191-3
- Werner EF, Han CS, Pettker CM, et al. Universal cervicallength screening to prevent preterm birth: A cost effectiveness analysis. Ultrasound Obstet Gynecol. 2011;38:32–37; DOI: https://doi.org/10.1002/uog.8911
- Shemin D. Dialysis in Pregnant women with chronic kidney disease. Seminars in Dialysis. 2003; 16(5): 379-383; DOI: https://doi.org/10.1046/j.1525-139X.2003.16084_1.x
- A. Bahadia, D. Montasserb, G. Salekc, R. Hafidic, M. Hassanic, M.El Allamb, M. Benyahiab, D. Elkabbajb, Z. Oualimb. La grossesse en hémodialyse : 11 ans d’expérience. Néphrologie et Thérapeutique ; 2011 (7) : p316.
-HOU S, Orlowski J, Pahl M. Pregnancy in women with end-stage renal disease: treatment of anemia and premature labor. Am J Kidney Dis 1993; 21: 16-22; DOI: https://doi.org/10.1016/S0272-6386(12)80714-1
- M.B. Le Stang, X. Belenfant. Grossesse chez la patiente en dialyse chronique : étude d’une cohorte francilienne. Néphrologie & Thérapeutique ; 2015 ; 11 :236-7.
- M. Panayea, A. Jolivota, F. Guebre-Egziabhera, J. Bacchettab, M. Doretc, L. Juillarda. Grossesse en hémodialyse : étude d’une série de 24 cas. Néphrologie & Thérapeutique, 2013 ; (9) : p267
- Registration committee of the EDTA. Successful pregnancy in women treated by dialysis and kidney transplantation. Br J obstetGynecol 1980. 8: 839-845 ; DOI :
https://doi.org/10.1111/j.1471-0528.1980.tb04434.x
-Abbassi H, Salah-Eddine A, Jersifi H. Insuffisance rénale chronique et grossesse. Gynecol Obstet Fertil 2001;29;106-115;DOI: https://doi.org/10.1016/S1297-9589(00)00063-1
-Okundaye I, Abrinko P, Hou S: Registry of pregnancy in 95dialysis patients. Am J Kidney Dis 1998; 31: 766–773; DOI: https://doi.org/10.1016/S0272-6386(98)70044-7
-Barua M, Hladunewich M, Keunen J et al. Successful pregnancies on nocturnal home hemodialysis. Clin J Am Soc Nephrol 2008; 3: 392–396; DOI: https://doi.org/10.2215/CJN.04110907