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Open Access Publications from the University of California

Intradialytic hyperalimentation as adjuvant support in pregnant hemodialysis patients: case report and review of the literature

  • Author(s): Tuot, Delphine
  • Gibson, Suzanne
  • Caughey, Aaron B.
  • Frassetto, Lynda A.
  • et al.

Pregnancy in chronic dialysis patients is unusual and associated with many complications. Infants are often born both prematurely and small for gestational age. We report a case of a 36-year-old diabetic hemodialysis patient G4P3 who had prolonged hyperemesis gravidarum, for whom intradialytic parenteral nutrition (IDPN) was started at week 14 and continued throughout her pregnancy. She delivered a 3.5-kg baby girl at the 36th week of gestation by cesarean section. We discuss the use of IDPN as adjunct therapy for pregnant dialysis patients.

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