Successful Completion of Pregnancy on Maintenance Haemodialysis: Experience from a Resource-Short Model

Data pertaining to pregnancy completion on haemodialysis in Chronic Kidney Disease (CKD) patients from the developing world are scarce. We report three successfully completed pregnancies on Maintenance Haemodialysis (MHD) between January 2012 and June 2015 from two tertiary care hospitals in South India. A total of 58 women of child bearing age underwent MHD during the period of 42 months. Calculated conception rate per year was 1.47% for the period. Conception occurred in two patients while already on haemodialysis. The mean weekly duration of dialysis treatment was 18.75, 23.8 and 21 hours. Pregnancies were completed at 32, 34 and 33 weeks, with delivery of low birth weight infants 1.44, 1.27 and 2.3 Kilograms. All three patients were socioeconomically disadvantaged but could undergo enhanced dialysis with the support of locally generated funding in two cases and an insurance scheme for low income employees in the third.