AI Article Synopsis
- Pregnancy and childbirth in patients with haemodialysis and systemic lupus erythematosus (SLE) is uncommon.
- The case report details a woman with SLE-related end-stage renal failure who successfully carried three pregnancies under difficult health circumstances.
- Despite her chronic condition and treatment, she was able to deliver one healthy baby and another baby who unfortunately passed away shortly after birth, highlighting the complexities of pregnancy in such cases.
Article Abstract
Background: Pregnancy and child birth in haemodialysis remains a rare event, even more, when pregnancy occurs in patient with systemic lupus erythematosus (SLE).
Aim: We report a case of a patient with end stage renal failure secondary to SLE and who carried out 3 pregnancies.
Case Report: She was a woman with proliferative and diffuse lupus glomerulonephritis since 1985 treated by corticosteroids and cyclophosphamide. In 1995, she developed chronic renal failure. In 1996, she underwent a 1st full term spontaneous pregnancy with normal birth weight. In 2001, she underwent a second spontaneous pregnancy while she was on periodic haemodialysis. She had a full term baby birth with a birth weight at 1 Kg 700 and who died 4 days later. In 2002, she had a third pregnancy with voluntary abortion at 8 weeks.
Conclusion: Our patient had conserved fertility despite treatment by cyclophosphamide, chronic renal failure and haemodialysis. The two successful deliveries may be attributed to the control of SLE activity and to the adequacy of haemodialysis.
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