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  1. 川崎医学会機関誌
  2. Kawasaki Medical Journal
  3. Vol.47(2021)

Case reports of pregnancies complicated with kidney disease and their fetal prognosis

https://kwmed.repo.nii.ac.jp/records/3003
https://kwmed.repo.nii.ac.jp/records/3003
a3d5557c-3a95-4caf-8185-b19efd6a7d59
名前 / ファイル ライセンス アクション
KMJ-E202147033.pdf PDF (1.7 MB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2022-04-01
タイトル
タイトル Case reports of pregnancies complicated with kidney disease and their fetal prognosis
言語 en
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 SUGIHARA, Mika

× SUGIHARA, Mika

en SUGIHARA, Mika

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SAITOU, Wataru

× SAITOU, Wataru

en SAITOU, Wataru

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MATSUMOTO, Ryo

× MATSUMOTO, Ryo

en MATSUMOTO, Ryo

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SUZUKI, Soichiro

× SUZUKI, Soichiro

en SUZUKI, Soichiro

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MATSUMOTO, Keiko

× MATSUMOTO, Keiko

en MATSUMOTO, Keiko

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TANAKA, Tamaki

× TANAKA, Tamaki

en TANAKA, Tamaki

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SANO, Rikiya

× SANO, Rikiya

en SANO, Rikiya

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ISHIDA, Tsuyoshi

× ISHIDA, Tsuyoshi

en ISHIDA, Tsuyoshi

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OTA, Yoshiaki

× OTA, Yoshiaki

en OTA, Yoshiaki

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NAKAI, Yuichiro

× NAKAI, Yuichiro

en NAKAI, Yuichiro

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NAKAMURA, Takafumi

× NAKAMURA, Takafumi

en NAKAMURA, Takafumi

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SHIOTA, Mitsuru

× SHIOTA, Mitsuru

en SHIOTA, Mitsuru

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KAWAMOTO, Yutaka

× KAWAMOTO, Yutaka

en KAWAMOTO, Yutaka

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SASAKI, Tamaki

× SASAKI, Tamaki

en SASAKI, Tamaki

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KASHIHARA, Naoki

× KASHIHARA, Naoki

en KASHIHARA, Naoki

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MASUNO, Mitsuo

× MASUNO, Mitsuo

en MASUNO, Mitsuo

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SHIMOYA, Kouichirou

× SHIMOYA, Kouichirou

en SHIMOYA, Kouichirou

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著者所属(英)
言語 en
値 Department of Obstetrics and Gynecology
著者所属(英)
言語 en
値 Department of Obstetrics and Gynecology
著者所属(英)
言語 en
値 Department of Obstetrics and Gynecology
著者所属(英)
言語 en
値 Department of Obstetrics and Gynecology
著者所属(英)
言語 en
値 Department of Obstetrics and Gynecology
著者所属(英)
言語 en
値 Department of Obstetrics and Gynecology
著者所属(英)
言語 en
値 Department of Obstetrics and Gynecology
著者所属(英)
言語 en
値 Department of Obstetrics and Gynecology
著者所属(英)
言語 en
値 Department of Obstetrics and Gynecology
著者所属(英)
言語 en
値 Department of Obstetrics and Gynecology
著者所属(英)
言語 en
値 Department of Obstetrics and Gynecology
著者所属(英)
言語 en
値 Department of Obstetrics and Gynecology
著者所属(英)
言語 en
値 Department of Neonatology
著者所属(英)
言語 en
値 Department of Nephrology and Hypertension, Kawasaki Medical School
著者所属(英)
言語 en
値 Department of Nephrology and Hypertension, Kawasaki Medical School
著者所属(英)
言語 en
値 Department of Medical Genetics, Kawasaki Medical School Hospital
著者所属(英)
言語 en
値 Department of Obstetrics and Gynecology
キーワード
言語 en
主題Scheme Other
主題 Kidney disease
キーワード
言語 en
主題Scheme Other
主題 Pregnancy with complication
キーワード
言語 en
主題Scheme Other
主題 Dialysis
キーワード
言語 en
主題Scheme Other
主題 Intrauterine growth retardation
抄録(英)
言語 en
値 The number of patients with chronic kidney disease (CKD) has been increasing every year, with a current prevalence of one in eight adults. Although the frequency of complications due to kidney disease before pregnancy is not high (0.02–0.12%), frequency of pregnancy with CKD, including cases receiving continuous dialysis therapy is expected to increase in the future. The fertility and birth rates among dialysis patients are low, and perinatal management in these patients is currently difficult. However, even under such circumstances, the probability of having a live-born baby in pregnant women on dialysis has increased due to improvements in dialysis technology, perinatal management, and neonatal care. There are some case reports written about them, and I think that it is possible to approach term delivery with careful care through the cases experienced this time.
 In this study, we examined the pregnant patients, on dialysis or requiring postpartum dialysis, at Kawasaki Medical School Hospital between January 2005 and March 2018. Six patients (86%) had a live-born baby, while one had a miscarriage. One patient underwent two pregnancies on dialysis; one case gave a full-term birth, while the rest had a premature delivery. The modes of delivery were vaginal delivery (n = 1), elective cesarean section (n = 3), and emergency cesarean section (n = 2). Five patients delivered successfully and had a good prognosis, while in one case, the neonate died.
 Over the years, owing to continuous improvement at our hospital, we have achieved better pregnancy prognosis and longer gestation periods in the patients. In particular, one case, which had a natural second pregnancy, 9 years after the beginning of dialysis, was worthy of note; we were able to manage her second pregnancy using the process followed during her first pregnancy as reference.
書誌情報 en : Kawasaki medical journal

巻 47, p. 33-39, 発行日 2021
出版者
出版者 Kawasaki Medical Society
ISSN
収録物識別子タイプ PISSN
収録物識別子 03850234
ISSN
収録物識別子タイプ EISSN
収録物識別子 24343404
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA12685295
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA12029005
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.11482/KMJ-E202147033
記事種別(英)
内容記述 Case Report
言語 en
関連サイト
識別子タイプ URI
関連識別子 https://igakkai.kms-igakkai.com/wp/wp-content/uploads/2021en/KMJ-E202147033.pdf
著者版フラグ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
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