Pregnancy and its outcomes in hemodialysis patients in Turkey.
Özet
Background/aim: This study aimed to investigate pregnancy frequency and evaluate the factors affecting live births in hemodialysis (HD) patients. Materials and methods: Female HD patients whose pregnancy was retrospectively reported between January 1, 2014, and December 31, 2019. The duration of HD, primary disease, and the information on whether the pregnancy resulted in abortion, stillbirth, or live birth, whether the HD duration was prolonged after diagnosing the pregnancy and whether it accompanied preeclampsia were recorded. Results: In this study, we reached 9038 HD female patients' data in the study. A total of 235 pregnancies were detected in 145 patients. The mean age was 35.42 (35 +/- 7.4) years. The mean age at first gestation was 30.8 +/- 6.5 years. The average birth week was 32 (28 -36) weeks. A total of 53.8% (no = 78) of the patients had live birth, 51.7% (no = 70) had at least one abortion in the first 20 weeks, and 13.1% (no = 19) had at least one stillbirth after 20 weeks. The rate of patients' increased numbers of dialysis sessions during pregnancy was 71.7%. The abortion rate was 22.4% in those with increased HD sessions, whereas 79.3% in those not increased HD sessions (p < 0.001). Live birth frequency was 67.2% in the increased HD sessions group and 3.4% in those who did not differ in HD sessions (p < 0.001). Conclusion: For the first time, we reported pregnancy outcomes in HD female patients, covering all regions of Turkey. It has been observed that; increasing the number of HD sessions in dialysis patients will decrease fetal and maternal complications and increase live birth rates.
Anahtar kelimeler
Atıf için künye
Dheir, H., Güngör, Ö., Ulu, M. S., Gök Oğuz, E., Eren, N., Altunören, O., Tatar, E., Atilgan, K. G., Karaköse, S., Güney, I., Eroğlu, E., Mutluay, R., Bozaci, I., Alp, A., Akdam, H., Seziş Demirci, M., Soypaçaci, Z., Akarsu, Ö., Paydaş, S., … Derici, Ü. (2022). Pregnancy and its outcomes in hemodialysis patients in Turkey. TURKISH JOURNAL OF MEDICAL SCIENCES, 52, 354–360. https://doi.org/10.3906/sag-2106-120
BibTeX
@article{dheir2022-243679,
author = {Dheir, Hamad and Güngör, Özkan and Ulu, Memnune Sena and Gök Oğuz, Ebru and Eren, Necmi and Altunören, Orçun and Tatar, Erhan and Atilgan, Kadir Gökhan and Karaköse, Süleyman and Güney, Ibrahim and Eroğlu, Eray and Mutluay, Rüya and Bozaci, Ilter and Alp, Alper and Akdam, Hakan and Seziş Demirci, Meltem and Soypaçaci, Zeki and Akarsu, Özger and Paydaş, Saime and Ercan, Zafer and Kara, Ekrem and Topal, Cevat and Yavaş, Haldun Hakan and Tekkarişmaz, Nihan and Turgutalp, Kenan and Hüzmeli, Can and Inci, Ayça and Karaveli Gürsoy, Güner and Güneş Keskin, Ayşe Jini and Huddam, Bülent and Hür, Ender and Yildiz, Abdulmecit and Bekfilavioğlu, Garip and Şahutoğlu, Tuncay and Tuncay, Mehmet and Bardak, Simge and Bakirdöğen, Serkan and Yilmaz, Zülfükar and Günay, Emrah and Tunca, Onur and Kazan, Sinan and Pembegül Yiğit, Irem and Saritaş, Hazen and Sevinç, Can and Kaptanoğullari, Hakan and Gökçay Bek, Sibel and Kurultak, Ilhan and Değirmenci, Ali and Şakaci, Murat and Kiliç, Ilhan and Aydin, Zeki and Çolak, Hülya and Dervişoğlu, Erkan and Şahin, Garip and Ayli, Mehmet Deniz and Sipahi, Savaş and Derici, Ülver},
title = {Pregnancy and its outcomes in hemodialysis patients in Turkey.},
journal = {TURKISH JOURNAL OF MEDICAL SCIENCES},
year = {2022},
volume = {52},
pages = {354--360},
issn = {1300-0144},
doi = {10.3906/sag-2106-120},
url = {https://akademik.atauni.edu.tr/yayinlar/243679-pregnancy-and-its-outcomes-in-hemodialysis-patients-in-turkey}
}