학술논문

Successful full-term delivery in a patient with maintenance hemodialysis using natriuretic peptides as volume markers without X-ray examination: a case report and literature review
Document Type
Report
Source
Renal Replacement Therapy. August 13, 2019, Vol. 5 Issue 1
Subject
Hemodialysis -- Usage
Natriuretic peptides -- Usage
Quality of life -- Analysis
Pregnant women -- Health aspects
Nuclear energy
Peptides
Pregnancy
Future predictions
Language
English
Abstract
Abstract A 38-year-old female undergoing maintenance hemodialysis became pregnant. To avoid X-ray exposure, plasma levels of natriuretic peptides were mainly used to determine dry weight. Dry weight was increased every week according to the gestation week. By closely monitoring the levels of natriuretic peptides, blood pressure, and amniotic fluid volume, general conditions remained stable. At 37 weeks of gestation, she delivered a healthy girl with an appropriate-for-date birth weight. We propose the measurement of natriuretic peptides as useful for managing volume during pregnancy without X-ray exposure. Future studies are required to explore the regulation and monitoring of hydration status during pregnancy. Keywords Hemodialysis Pregnancy Dry weight Natriuretic peptide X-ray
Author(s): Naomi Matsuo[sup.1] , Yushi Nakayama[sup.1] , Hideki Inoue[sup.1] , Yuichiro Izumi[sup.1] and Masashi Mukoyama[sup.1] Background Through the technical advancement of dialysis therapy, long-term prognosis and quality of life in [...]