Pregnancy in a patient with renal tubular acidosis (clinical observation): management strategy, delivery and correction of metabolic disorders


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Abstract

Aim To examine the features of clinical presentation and pregnancy-management strategy in a patient with distal renal tubular acidosis (type і). Materials and methods Medical history, findings of clinical, laboratory and instrumental examination, management strategy of pregnancy and childbirth in a patient with a rare kidney disease were analyzed. Results In 2014 a patient with renal tubular acidosis type 1 had an uneventful delivery at MRSIOG. a particular difficulty of the case was maintaining pregnancy with chronic metabolic acidosis, anesthesia for cesarean section, and correction of water electrolytes and acid-base balance abnormalities during and after delivery. Conclusion Planning and prolonging pregnancy in patients with renal tubular acidosis are feasible, provided that early diagnosis is made and proper correction of metabolic abnormalities is carried out. However, it is associated with a high risk of anesthesia and perinatal complications, and, therefore, requires continuous monitoring of clinical and laboratory indicators of pregnancy and delivery in the settings of highly specialized maternity hospitals.

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References

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