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fetal aneuploidy screening with dialysis

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Chapter 48 - Dialysis in Pregnancy
from Section 7 - Hepato-Renal and Gastrointestinal Conditions in Pregnancy
- By Tiina Podymow, Amira El-Messidi, Michelle Hladunewich
Edited by Amira El-Messidi, McGill University, Montréal, Alan D. Cameron, University of Glasgow
Book:

OSCEs in Obstetrics and Maternal-Fetal Medicine

Published online:

23 February 2023

Print publication:

16 February 2023, pp 605-616
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Summary

A 33-year-old primigravida on thrice weekly hemodialysis while awaiting renal transplantation is referred by her nephrologist to your high-risk obstetric unit. Given irregular menstrual cycles, she did a home urine pregnancy test after three months of amenorrhea. Yesterday, she was pleasantly surprised with dating sonography confirming a single viable intrauterine fetus at 11+1 weeks’ gestation. The request for consultation ensures that her nephrologist, nutritionist, and other allied members in dialysis care will follow her pregnancy with you.