The the most accurate method for confirming pregnancy for women with confirmed renal failure is ultrasound, because of the fact that β-hCG levels can increase during this period, which in turn can lead to false positive results from pregnancy tests. The incidence of pregnancy in women on dialysis is extremely low, but the rate of successful pregnancies in this context has increased over the years
Going on dialysis before getting pregnant results in a higher live birth rate and a lower likelihood of preterm birth than conception after initiation of dialysis. Cohort data show that dialysis intensity influences outcomes for more successful births, longer gestational age and higher birth weight of the newborn. During pregnancy, women on dialysis should be monitored for low levels of potassium, phosphate and folate, as well as for high glucose, especially for patients going on peritoneal dialysis. It is also important to be monitored for anemia, to maintain a healthy diet and observe the magnesium levels. A strategy in the study of the importan of dialysis during pregnancy is the evaluation of recorded data to determine the impact of early or late initiation of dialysis in pregnancy and to observe the results focused on live birth, pregnancy survival, gestational age and weight of the newborn.
Therefore, all pregnant women on dialysis are facing a number of extremely stressful challenges. The difficulty in conceiving, maintaining a healthy pregnancy and the following care of a baby by a person struggling on his own to survive, requires enormous support from family and the loved ones.