Pregnancy Outcomes on Chronically Hemodialyzed Women in Arab World: A Systematic Review

Year : 2024 | Volume : 02 | Issue : 01 | Page : 1-16
By

    Leena Mohamed Khonji

  1. Hussein AlHafnawi

  2. Zohour Ibrahim Rashwan

  3. Gayathripriya Narayanan

  4. Nandini Mannadath

  5. Magda Mohamed Bayoumi

  1. Researcher, College of Health and Sport Sciences, University of Bahrain, Zallaq, Kingdom of Bahrain
  2. Research Project Coordinator, Arabian Gulf University, Zallaq, Kingdom of Bahrain
  3. Researcher, Faculty of Nursing, Alexandria University, Egypt
  4. Researcher, College of Health and Sport Sciences, University of Bahrain, Zallaq, Kingdom of Bahrain
  5. Researcher, College of Health and Sport Sciences, University of Bahrain, Zallaq, Kingdom of Bahrain
  6. Researcher, Beni-Suef University, Beni Suef, Egypt

Abstract

Pregnancy carries a major risk of difficulties, as highlighted by the present systemic study on pregnancy outcomes in persistently hemodialyzed women in the Arab world. The objective of this systematic review was to describe the pregnancy outcomes among chronically hemodialized pregnant women in the Arab countries in terms of incidence of pregnancy among women on maintenance hemodialysis and the incidence of maternal and fetal complications of pregnant women on hemodialysis. A systematic review was performed based on PRISMA guidelines. Data searched were conducted through databases such as MEDLINE, Scopus, and manual search of multiple databases. Eleven studies met the inclusion criteria after applying filtering approach, which were ready for analysis. Results indicated that the included studies reported 302 pregnancies with a success rate of (43.4 %). The mean yearly incidence rate of pregnancy among women was 1.12 %. The most common complications reported were abortion for mothers and IUFR for fetuses (7.7%). The main recommendation was to increase the duration and the frequency of HD, as it is reported in 4 articles to be associated with a higher success rate with statistical significance (p-value < 0.05).

Keywords: End Stage Renal Disease, Chronic Kidney Disease, Pregnancy outcome, Fetal outcome, Hemodialysis

[This article belongs to International Journal of Midwifery Nursing And Practices(ijmnp)]

How to cite this article: Leena Mohamed Khonji, Hussein AlHafnawi, Zohour Ibrahim Rashwan, Gayathripriya Narayanan, Nandini Mannadath, Magda Mohamed Bayoumi Pregnancy Outcomes on Chronically Hemodialyzed Women in Arab World: A Systematic Review ijmnp 2024; 02:1-16
How to cite this URL: Leena Mohamed Khonji, Hussein AlHafnawi, Zohour Ibrahim Rashwan, Gayathripriya Narayanan, Nandini Mannadath, Magda Mohamed Bayoumi Pregnancy Outcomes on Chronically Hemodialyzed Women in Arab World: A Systematic Review ijmnp 2024 {cited 2024 Feb 09};02:1-16. Available from: https://journals.stmjournals.com/ijmnp/article=2024/view=132724

References

  1. Abd, K., Shamma, I., Scopus, Chaker, H., Masmoudi, S., Toumi, S., Dammak, N., Hachicha, J., Kammoun, K., Yaich, S., & Hmida, M. (2007). Successful pregnancy in a patient with hemodialysis in Iraq. Saudi Journal of Kidney Diseases and Transplantation : An Official Publication of the Saudi Center for Organ Transplantation, 18(2), 195.
  2. Al-Matary, A., & Ali, J. (2014). Controversies and considerations regarding the termination of pregnancy for Foetal Anomalies in Islam. BMC Medical Ethics, 15(1). https://doi.org/10.1186/1472-6939-15-10
  3. Bahadi, A., El Kabbaj, D., Guelzim, K., Kouach, J., Hassani, M., Maoujoud, O., Aattif, M., Kadiri, M., Montassir, D., Zajjari, Y., Alayoud, A., Benyahia, M., Elallam, M., & Oualim, Z. (2010). Pregnancy during hemodialysis: A single center experience. Saudi Journal of Kidney Diseases and Transplantation : An Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia, 21(4), 646–651. Scopus.
  4. Baouche, H., Jais, J.-P., Meriem, S., Kareche, M., Moranne, O., Vigneau, C., & Couchoud, C. (2022). Pregnancy in women on chronic dialysis in the last decade (2010–2020): a systematic review. Clinical Kidney Journal, 16(1). https://doi.org/10.1093/ckj/sfac204
  5. Bas Lando, M., Urman, M., Weiss, Y., Srebnik, N., Grisaru-Granovsky, S., Farkash, R., & Sela, H. Y. (2023). Term Idiopathic Polyhydramnios, and Labor Complications. Journal of Clinical Medicine, 12(3), 981. https://doi.org/10.3390/jcm12030981
  6. Chaker, H., Masmoudi, S., Toumi, S., Dammak, N., Hachicha, J., Kammoun, K., Yaich, S., & Hmida, M. B. (2020). [Pregnancy in patients on chronic haemodialysis: About 25 cases which occurred in the south of Tunisia]. The Pan African Medical Journal, 36, 195. https://doi.org/10.11604/pamj.2020.36.195.20514
  7. Chakhtoura, Z., Meunier, M., Caby, J., Mercadal, L., Arzouk, N., Barrou, B., & Touraine, P. (2015). Gynecologic follow up of 129 women on dialysis and after kidney transplantation: a retrospective cohort study. European Journal of Obstetrics & Gynecology and Reproductive Biology, 187, 1–5. https://doi.org/10.1016/j.ejogrb.2015.01.004
  8. Chan, W., Okun, N., & Kjellstrand, C. M. (1998). Pregnancy in Chronic Dialysis: A Review and Analysis of the Literature. PubMed, 21(5), 259–268. https://doi.org/10.1177/039139889802100503
  9. Doukkali, B., Bahadi, A., Rafik, H., Kabbaj, D., & Benyahia, M. (2015). La grossesse chez les hémodialysées chroniques. The Pan African Medical Journal, 20. https://doi.org/10.11604/pamj.2015.20.213.6196
  10. Hadj Sadek, B., Kejji, S., Rhou, H., Ezzaitouni, F., Ouzeddoun, N., Bayahia, R., & Benamar, L. (2011). [Pregnancy in chronic hemodialysis patients]. Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction, 40(5), 452–459. https://doi.org/10.1016/j.jgyn.2011.04.003
  11. Herwig, K. R., Merrill, J. P., Jackson, R. L., & Oken, D. (1965). Chronic renal disease and pregnancy. American Journal of Obstetrics and Gynecology, 92(8), 1117–1121. https://doi.org/10.1016/s0002-9378(15)33094-5
  12. Hirano, H., Ueda, T., Tani, H., Kosaka, K., Nakatani, E., Hawke, P., Mori, K., & Mori, N. (2021). Pregnancy and delivery in women receiving maintenance hemodialysis in Japan: analysis of potential risk factors for neonatal and maternal complications. Journal of Nephrology, 34(5), 1599–1609. https://doi.org/10.1007/s40620-021-01146-3
  13. Imtiaz, S., Shams, M., Albably, S. A. R., & Khan, A. S. (2008). Successful pregnancy in end-stage renal disease patient in a sub-urban area of Saudi Arabia. Saudi Journal of Kidney Diseases and Transplantation, 19(6), 980.
  14. Iqbal, T., Aborahma, A. M., Kanaan, A., Ahmed, A. A., Ali, A. Z., & Al-Lehbi, A. M. (2022). Outcome of Pregnancy in Chronic Hemodialysis Patients: Single Center Experience.
  15. Luders, C., Titan, S. M., Kahhale, S., Francisco, R. P., & Zugaib, M. (2018). Risk Factors for Adverse Fetal Outcome in Hemodialysis Pregnant Women. Kidney International Reports, 3(5), 1077–1088. https://doi.org/10.1016/j.ekir.2018.04.013
  16. Malik, G., Al-Harbi, A., Al-Mohaya, S., Dohaimi, H., Kechrid, M., Al-Hassan, A. O., & Quiapos, L. S. (2005). Pregnancy in Patients on Dialysis—Experience at a Referral Center. 53.
  17. Manisco, G., Potì’, M., Maggiulli, G., Di Tullio, M., Losappio, V., & Vernaglione, L. (2015). Pregnancy in end-stage renal disease patients on dialysis: how to achieve a successful delivery. Clinical Kidney Journal, 8(3), 293–299. https://doi.org/10.1093/ckj/sfv016
  18. Megahed, A. F., Kannishy, G. E., Azawy, H. E., Megahed, H. F., Hashish, E. H., & Ahmed, N. S.-. (2020). Pregnancy Outcomes in Egyptian Women on Maintenance Hemodialysis: A Multicenter Observational Study. Asian Journal of Medicine and Health, 1–17. https://doi.org/10.9734/ajmah/2020/v18i1030247
  19. Oliverio, A. L., & Hladunewich, M. A. (2020). End-Stage Kidney Disease and Dialysis in Pregnancy. Advances in Chronic Kidney Disease, 27(6), 477–485. https://doi.org/10.1053/j.ackd.2020.06.001
  20. Orme Bm, Ueland, K., Simpson Dp, & Scribner Bh. (1968). The effect of hemodialysis on fetal survival and renal function in pregnancy. PubMed, 14, 402–404.
  21. Page.M.J., McKenzie. J. E., et l. (2021). The PRISMA 2020 statement.An updated guideline for reporting systematic reviews. PLOS Medicine, 18 (3), Article e 1003583.
  22. P. Ackrill, Goodwin, F. J., Marsh, F., Stratton, D., & Wagman, H. (1975). Successful pregnancy in patient on regular dialysis. BMJ, 2(5964), 172–174. https://doi.org/10.1136/bmj.2.5964.172
  23. Piccoli, G. B., Attini, R., Vasario, E., Conijn, A., Biolcati, M., D’Amico, F., Consiglio, V., Bontempo, S., & Todros, T. (2010). Pregnancy and Chronic Kidney Disease: A Challenge in All CKD Stages. Clinical Journal of the American Society of Nephrology, 5(5), 844–855. https://doi.org/10.2215/cjn.07911109
  24. Piccoli, G., Gianfranca Cabiddu, Daidone, G., Guzzo, G., Maxia, S., I. Ciniglio, Postorino, V., Loi, V., Ghiotto, S., Nichelatti, M., Rossella Attini, Coscia, A., Postorino, M., Pani, A., Castellino, S., Gernone, G., Calabria, S. I., Galliani, M., Massimo Di Tullio, & S. Fersini. (2014). The children of dialysis: live-born babies from on-dialysis mothers in Italyan epidemiological perspective comparing dialysis, kidney transplantation and the overall population. Nephrology Dialysis Transplantation, 29(8), 1578–1586. https://doi.org/10.1093/ndt/gfu092
  25. Ribeiro, C. I., & Silva, N. (2020). Pregnancy and dialysis. Brazilian Journal of Nephrology, 42(3), 349–356. https://doi.org/10.1590/2175-8239-jbn-2020-0028
  26. Shehaj, L., & Kazancıoğlu, R. (2023). Pregnancy in Chronic Kidney Disease. Kidney and Dialysis, 3(2), 152–162. https://doi.org/10.3390/kidneydial3020013
  27. Sidar Çöpür, Metehan Berkkan, Basile, C., Cozzolino, M., & Mehmet Kanbay. (2023). Dialysis in Pregnancy: An Update Review. Blood Purification, 52(7-8), 686–693. https://doi.org/10.1159/000531157
  28. Sivasuthan, G., Dahwa, R., John, G. T., & Ranganathan, D. (2013). Dialysis and Pregnancy in End Stage Kidney Disease Associated with Lupus Nephritis. Case Reports in Medicine, 2013, 1–7. https://doi.org/10.1155/2013/923581
  29. Souqiyyeh, M. Z., Huraib, S. O., Mohd. Saleh, A. G., & Aswad, S. (1992). Pregnancy in Chronic Hemodialysis Patients in the Kingdom of Saudi Arabia. American Journal of Kidney Diseases, 19(3), 235–238. https://doi.org/10.1016/S0272-6386(13)80003-0
  30. Strippoli, G. F. M. (2012). Sexual Dysfunction in Women with ESRD Requiring Hemodialysis. Clinical Journal of the American Society of Nephrology, 7(6), 974–981. https://doi.org/10.2215/cjn.12601211
  31. Tangren, J., Nadel, M., & Hladunewich, M. A. (2018). Pregnancy and End-Stage Renal Disease. Blood Purification, 45(1-3), 194–200. https://doi.org/10.1159/000485157
  32. Tong, A., Jesudason, S., Craig, J. C., & Winkelmayer, W. C. (2014). Perspectives on pregnancy in women with chronic kidney disease: systematic review of qualitative studies. Nephrology Dialysis Transplantation, 30(4), 652–661. https://doi.org/10.1093/ndt/gfu378
  33. Wiles, K. S., Nelson-Piercy, C., & Bramham, K. (2018). Reproductive health and pregnancy in women with chronic kidney disease. Nature Reviews Nephrology, 14(3), 165–184. https://doi.org/10.1038/nrneph.2017.187
  34. Yang, L., E. Thia, & Tan, L. (2010). A review of obstetric outcomes in women with end-stage renal disease on chronic dialysis. Obstetric Medicine, 3(2), 48–53. https://doi.org/10.1258/om.2010.100001
  35. Zha, Y., & Qian, Q. (2017). Protein Nutrition and Malnutrition in CKD and ESRD. Nutrients, 9(3), 208. https://doi.org/10.3390/nu9030208
  36. Zhang, J.-J., Ma, X.-X., Hao, L., Liu, L.-J., Lv, J.-C., & Zhang, H. (2015). A Systematic Review and Meta-Analysis of Outcomes of Pregnancy in CKD and CKD Outcomes in Pregnancy. Clinical Journal of the American Society of Nephrology, 10(11), 1964–1978. https://doi.org/10.2215/CJN.09250914
  37. Zhang, J.-J., Ma, X.-X., Hao, L., Liu, L.-J., Lv, J.-C., & Zhang, H. (2015). A Systematic Review and Meta-Analysis of Outcomes of Pregnancy in CKD and CKD Outcomes in Pregnancy. Clinical Journal of the American Society of Nephrology, 10(11), 1964–1978. https://doi.org/10.2215/CJN.09250914

Regular Issue Subscription Review Article
Volume 02
Issue 01
Received February 1, 2024
Accepted February 3, 2024
Published February 9, 2024