Pregnancy and its outcomes in hemodialysis patients in Turkey
View/ Open
Access
info:eu-repo/semantics/openAccessDate
2022Author
Dheir, HamadGüngör, Özkan
Ulu, Memnune Sena
Gök Oğuz, Ebru
Eren, Necmi
Altunören, Orçun
Tatar, Erhan
Atılgan, Kadir Gökhan
Karaköse, Süleyman
Güney, İbrahim
Eroğlu, Eray
Mutluay, Rüya
Bozacı, İlter
Alp, Alper
Akdam, Hakan
Seziş Demirci, Meltem
Soypaçacı, Zeki
Akarsu, Özger
Paydaş, Saime
Ercan, Zafer
Kara, Ekrem
Topal, Cevat
Yavaş, Hakan
Tekkarışmaz, Nihan
Turgutalp, Kenan
Hüzmeli, Can
İnci, Ayça
Karaveli Gürsoy, Güner
Güneş Keskin, Ayşe Jini
Huddam, Bülent
Hür, Ender
Yıldız, Abdülmecit
Bekfilavioğlu, Garip
Şahutoğlu, Tuncay
Tuncay, Mehmet
Bardak, Simge
Bakırdöğen, Serkan
Yılmaz, Zülfikar
Günay, Emrah
Tunca, Onur
Kazan, Sinan
Yiğit, İrem Pembegül
Sarıtaş, Hazen
Sevinç, Can
Kaptanoğulları, Hakan
Gökçay Bek, Sibel
Kurultak, İlhan
Değirmenci, Ali
Şakacı, Murat
Kılıç, İlhan
Aydın, Zeki
Çolak, Hülya
Dervişoğlu, Erkan
Şahin, Garip
Aylı, Mehmet Deniz
Sipahi, Savaş
Derici, Ülver
Metadata
Show full item recordCitation
Dheir, H., Güngör, Ö., Ulu, M. S., Oğuz, E. G., Eren, N., Altunören, O., ... & Akdam, H. (2022). Pregnancy and its outcomes in hemodialysis patients in Turkey. Turkish Journal of Medical Sciences, 52(2), 354-360.Abstract
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.