Pregnancy In Peritoneal Dialysis Using Tidal Automated Peritoneal Dialysis: Largest Case Series. Single - Center Experience

Author(s): Abdullah Alhwiesh, Moaz Abdulgalil , Ibrahiem Saeed Abdul-Rahman, Amani Alhwiesh, Mohammed Nasr El-Din, Hatem Althubaini, Suzan abdullah1, Kareemah Alquraish, Nour Alnas, Khadija Alshehabi, Badran AlHwiesh, Nadia Al- Audah.

Pregnant women with End Stage Kidney Disease (ESKD) have higher maternal and fetal complications than those with normal renal function. Fetal survival in women who conceive after commencing dialysis is 50%. Renal transplant has been the ideal option for pregnant women with ESKD, but limited organ donation leads to increased cases of pregnant patients in both Hemodialysis (HD) and Peritoneal dialysis (PD). Due to heterogeneity in literature, the lack of a precise control group in most case series, and the lack of unified definitions for relevant outcomes such as preterm, small for gestational age, and preeclampsia, it is challenging to publish standardized guidelines for pregnant PD patients. In conclusion, we report our unique successful experience of treating eight pregnant PD women who conceived after commencing PD. To the best of our knowledge, this is the largest case series in literature for treating pregnant PD women using Tidal Automated PD.