The first case of successful pregnancy and natural childbirth in a patient on program hemodialysis in Uzbekistan
- Authors: Daminov B.T.1,2, Azizov S.K.1, Sharapov O.N.1,2, Safoeva S.F.3
-
Affiliations:
- Republican Specialized Scientific and Practical Medical Center for Nephrology and Kidney Transplantation
- Tashkent Pediatric Medical Institute
- Republican Specialized Scientific and Practical Center for Obstetrics and Gynecology
- Issue: Vol 16, No 1 (2024)
- Pages: 54-57
- Section: Clinical case
- URL: https://journals.eco-vector.com/2075-3594/article/view/631121
- DOI: https://doi.org/10.18565/nephrology.2024.1.54-57
- ID: 631121
Cite item
Abstract
As is known, in the body of a patient receiving hemodialysis (HD), along with metabolic disorders, acid-base conditions, digestion, endocrine disorders, etc., pathological irreversible changes in the reproductive system are observed. They lose their ability to work and become disabled. Therefore, many women on HD do not experience pregnancy or have a miscarriage. In recent years, major reforms have been carried out in Uzbekistan in the healthcare system, in particular in the field of nephrology and HD. Among these reforms, special attention is paid to improving the quality and HD coverage of the country's population.
Description of the clinical case. The article describes the first successful pregnancy and natural childbirth in a patient on program HD in Uzbekistan.
Keywords
Full Text
About the authors
Botir T. Daminov
Republican Specialized Scientific and Practical Medical Center for Nephrology and Kidney Transplantation; Tashkent Pediatric Medical Institute
Author for correspondence.
Email: nephrology.uzbekistan@gmail.com
Dr.Sci. (Med.), Professor, Director of the Republican Specialized Scientific and Practical Medical Center for Nephrology and Kidney Transplantation
Uzbekistan, Tashkent; TashkentSabit K. Azizov
Republican Specialized Scientific and Practical Medical Center for Nephrology and Kidney Transplantation
Email: nefrologiya2019@mail.ru
Dr.Sci. (Med.), Head of the Hemodialysis Department № 1
Uzbekistan, TashkentOlimkhon N. Sharapov
Republican Specialized Scientific and Practical Medical Center for Nephrology and Kidney Transplantation; Tashkent Pediatric Medical Institute
Email: olim.sharapov@mail.ru
ORCID iD: 0000-0003-2452-416X
Cand. Sci. (Med.), Head of the Scientific Department of the Republican Specialized Scientific and Practical Medical Center for Nephrology and Kidney Transplantation
Uzbekistan, Tashkent; TashkentShirinkhon F. Safoeva
Republican Specialized Scientific and Practical Center for Obstetrics and Gynecology
Email: info@uzaig.uz
Cand. Sci. (Med.), Obstetrician-Gynecologist
Uzbekistan, TashkentReferences
- Бондаренко Т.В., Моргунов Л.Ю. Беременность у женщины, получающей лечение диализом. Res. Pract. Med. J. 2016;3(1):34–8. https://doi.org/10.17709/2409-2231-2016-3-1-5 [Bondarenko T.V., Morgunov L.Y. Pregnancy in womаn on dial ysis. Res. Pract. Med. J. 2016;3(1):34–8 (In Russ.)].
- Никольская И.Г., Прокопенко Е.И. Беременность при терминальной стадии хронической почечной недостаточности и лечении гемодиализом. Рос. вестн. Акушерства и гинекологии. 2014;2:29–35. [Nikol'skaja I.G., Prokopenko E.I. Beremennost' pri terminal'noj stadii hronicheskoj pochechnoj nedostatochnosti i lechenii gemodializom. Ros. Vestn. Akush. Gin. 2014;2:29–35].
- Экстрагенитальная патология и беременность. Под ред. Л.С. Логутовой. М., 2012. [Jekstragenital'naja patologija i beremennost'. Pod red. L.S. Logutovoj. M., 2012.
- Bili E., Tsolakidis D., Stangou S., Tarlatzis B. Pregnancy management and outcome in women with chronic kidney disease. Hippokratia. 2013;17(2): 163–68.
- Chinnappa V., Ankichetty S., Angle P., Halpern S.H. Chronic kidney disease in pregnancy. Int. J. Obstet. Anesth. 2013;22(3):223–30. doi: 10.1016/j.ijoa.2013.03.016.
- Furaz-Czerpak K.R., Fernández-Juárez G., Moreno-de la Higuera M.Á., et al. Pregnancy in women on chronic dialysis: a review. Nefrologia. 2012;14,32(3):287–94. doi: 10.3265/Nefrologia.pre2012.Jan.11319.
- Hladunewich M., Hercz A.E., Keunen J., et al. Pregnancy in End Stage Renal Disease. Semin. Dial. 2011;24(6):634–39.
- Указ Президента Республики Узбекистан, от 07.02.2017 №УП-4947. О стратегии действий по дальнейшему развитию Республики Узбекистан. https://lex.uz/ru/docs/3107042
- Указ Президента Республики Узбекистан, от 28.01.2022 №УП-60. О стратегии развития нового Узбекистана на 2022–2026 гг. https://lex.uz/docs/5841077
- Постановление Президента Республики Узбекистан, от 12.07.2018 № ПП-3846. О мерах по повышению эффективности оказания нефрологической и гемодиализной помощи населению Республики Узбекистан. https://lex.uz/docs/3822385
- Постановление Президента Республики Узбекистан, от 25.04.2022 г. № ПП-216. Об усилении охраны материнства и детства в 2022–2026 гг. https://lex.uz/docs/5980206
- Ståhl M., Wendt M., Mielniczenko G., et al. Pregnancy and childbirth is now possible for women with chronic kidney disease. Dialysis treatment should be intensified during pregnancy, as shown in five cases. Lakartidningen. 2014;4,111(5):154–57.
- Panaye M., Jolivot A., Lemoine S., et al. Pregnancies in hemodialysis and in patients with end-stage chronic kidney disease: Epidemiology, management and prognosis. Nephrol. Ther. 2014;10(7):485–91. doi: 10.1016/j.nephro.2014.06.006.