Skip to content
Research Article Open access CC BY 4.0

Pregnancy Outcomes in Egyptian Women on Maintenance Hemodialysis: A Multicenter Observational Study

Abir Farouk Megahed, Ghada El Kannishy, Hassan El Azawy, Hanan Farouk Megahed, Ehab Hussein Hashish, Nagy Sayed- Ahmed

Asian Journal of Medicine and Health · pp. 1–17 · Published 24 Sep 2020

10.9734/ajmah/2020/v18i1030247

Abstract

Background and Aims: Women in the childbearing period on hemodialysis (HD) have decreased fertility when compared with the general population. However, pregnancy in this patients’ population is still possible. The aim of the current study was to assess the conception rate in Egyptian HD females. Methods: The study comprises 2 phases: phase one studied the frequency of conception in HD females in Egypt, while phase two studied the live birth frequency and factors affecting it in 22 hemodialysis units (HDUs) including 211 females with sexually active partner in their childbearing period comprising 33 females with HD coincidental pregnancies. Results: 5-year conception rate was 5.2%, and was associated with higher planned dialysis dose (higher blood flow rate, larger dialyzer size, and session length), better control of blood pressure, as well as a lower level of serum ferritin. Live birth frequency was 33.3% and was statistically significantly associated with younger age of the pregnant lady, higher length of dialysis sessions, lower serum phosphorus level, and suggested better nutrition. There was no maternal mortality associated with HD coincidental pregnancies. There was a better neonatal outcome observed with the caesarian section. Conclusion: Fertility is possible and safe in Egyptian HD female with a sexually active partner as there is no maternal mortality but not as such for the fetal outcome. Better conception potentials and the outcome are related to better-planned dialysis dosing and adequate control of phosphate and inflammation.

Conception egyptian HD female HD coincidental pregnancies mode of delivery pregnancy outcome.

References (18)

  1. 1 Cognitive and Behavioral Outcomes of School-Aged Children Who Were Born Preterm [DOI]
  2. 2 Serum ferritin is an important inflammatory disease marker, as it is mainly a leakage product from damaged cells [DOI]
  3. 3 Pregnancy in chronic renal insufficiency and end-stage renal disease [DOI]
  4. 4 Registry of pregnancy in dialysis patients [DOI]
  5. 5 Intensive Hemodialysis Associates with Improved Pregnancy Outcomes [DOI]
  6. 6 Pregnancy Outcomes According to Dialysis Commencing Before or After Conception in Women with ESRD [DOI]
  7. 7 The children of dialysis: live-born babies from on-dialysis mothers in Italy--an epidemiological perspective comparing dialysis, kidney transplantation and the overall population [DOI]
  8. 8 Frequency and Outcome of Pregnancy in Women on Dialysis [DOI]
  9. 9 Pregnancy in Chronic Hemodialysis Patients in the Kingdom of Saudi Arabia [DOI]
  10. 10 Introducing new data on gestation-specific infant mortality among babies born in 2005 in England and Wales.
  11. 11 Management of the Pregnant Chronic Dialysis Patient [DOI]
  12. 12 Pregnancy during hemodialysis: perinatal outcome in our cases [DOI]
  13. 13 Premature ovarian senescence and a high miscarriage rate impair fertility in women with HCV [DOI]
  14. 14 Pregnancy in Women Treated With Dialysis: Lessons From a Large Series Over 20 Years [DOI]
  15. 15 Nutritional control of pregnant women on chronic hemodialysis [DOI]
  16. 16 Fertility in Women after Age Forty-Five [DOI]
  17. 17 Successful pregnancies in women on regular hemodialysis treatment.
  18. 18 Modification of Dialysis Regimens for Pregnancy [DOI]

Cited by 10

Pregnancy Outcomes and Associated Complications in Patients Undergoing Hemodialysis and Their Neonates: A Nationwide Study in South Korea (2014–2022)

Jee-Young Lee, Sang Hyun Park, H. Park · Journal of Clinical Medicine · 2026

Pregnancy in chronic hemodialysis in a resource-limited country: case report and literature review

A. Fofana, M. Samaké, S. Sy · BMC Nephrology · 2025

Access to Care During Pregnancy for Patients With Chronic Kidney Disease and Kidney Failure in Latin America: A State of the Art with an International Comparison.

Alejandra Orozco, R. Shemies, Luis Enrique Álvarez Rangel · Seminars in Nephrology · 2025

Pregnancy in women on chronic dialysis in the last decade (2010–2020): a systematic review

Hayet Baouche, J. Jais, Samy Meriem · Clinical Kidney Journal · 2022

Efficacy and safety of hemodialysis strategies for pregnant women with chronic kidney disease: Systematic review

A. L. Martimbianco, Roberta de Fátima Carreira Moreira, R. Pacheco · Seminars in dialysis · 2022

Amenorrhea, premenstrual tension syndrome, and dysmenorrhea among women of reproductive age on hemodialysis: A national study in Egypt

R. Shemies, A. El-gilany, N. Sayed-Ahmed · Seminars in dialysis · 2022

Showing 6 of 10 known citations — external sources report more than can currently be individually listed.

Related research

Article metrics

Real usage data collected on this platform.

67

Page views

0

PDF downloads

22

Outbound clicks

10

Citations

Views over time

Views by country

Approximate, from request IP at view time — not citizenship or institution. Countries with fewer than 5 views are grouped as "Other".

Traffic sources

Referring site, by host.

Views and downloads exclude known bots/crawlers. Citations combines this platform's own DOI-resolved index with each external source's own reported total — see Cited by above for individually listed citing works. Last refreshed 0 seconds ago.