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논문분류	춘계학술대회 초록집
제목	The First Case of Successful Pregnancy and Natural Childbirth in A Dialysis Patient in Uzbekistan
저자	Olimkhon Sharapov
출판정보	2025; 2025(1):
키워드	CKD, DIALYSIS, PREGNANCY, CHILDBIRTH, UZBEKISTAN
초록	Case report: Patient A. 39 years old, with ESRD and a detected pregnancy of 18 weeks. History: 17 years ago, she fell ill with glomerulonephritis, has been receiving HD for 9 years. Obstetric history-has 1 normal birth and 1 abortion at 11 weeks. After experiencing nausea, vomiting, malaise and abdominal discomfort, she was sent for screening to determine if she was pregnant. Based on the results of two consecutive screenings, pregnancy was detected, 18 weeks, without pathologies and with progression. At 29-30 weeks of pregnancy, she was hospitalized. During the examination: BP-100/60 mmHg, HR-80 beats per minute, daily diuresis 2.0-2.5 liters. CBC: Hb-81, erythrocytes-2.7, leukocytes-8.5, platelets-192, ESR-63. Proteinuria-0.3. Blood: urea-6.9, creatinine-284, total protein-63, ferritin-2826.2, calcium-2.01, phosphorus 0.75, cholesterol-6.3, glucose-4.2, PTH-445.8 pg/ml, Vitamin D - 10.2 ng/ml. Hormones: Chorionic gonadotropin - 263240 mlU/ml, free estriol - 2.82. Tests for HIV, hepatitis B, C, and TORCH infections showed negative results. Ultrasound revealed moderate hepatomegaly, chronic cholecystitis, bile stagnation and bilateral shrinkage of both kidneys. On 09/07/2022, after hemodialysis session at 14:45 the patient was transferred to the maternity ward, at 16:50, a live premature boy was born, weighing 1554 g, length 42 cm, with an Apgar score of 5/7 points. A premature newborn corresponds to a gestational age of 29 weeks. After 5 days, she was discharged home. The child stayed in the neonatal pathology department. Incubator nursing, respiratory therapy NCPAP, treatment - Curasurf, antibacterial therapy (ampisul, merkacin) was carried out. After his condition improved, he was safely discharged home. Now, the health of mother and child is satisfactory. The child grows and develops.
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