The children of dialysis: Live-born babies from on-dialysis mothers in Italy - An epidemiological perspective comparing dialysis, kidney transplantation and the overall population

Giorgina Barbara Piccoli, Gianfranca Cabiddu, Giuseppe Daidone, Gabriella Guzzo, Stefania Maxia, Ida Ciniglio, Valentina Postorino, Valentina Loi, Sara Ghiotto, Michele Nichelatti, Rossella Attini, Alessandra Coscia, Maurizio Postorino, Antonello Pani

Research output: Contribution to journalArticle

Abstract

Background A successful pregnancy is an exceptional event on dialysis. Few data are available comparing pregnancy rates on dialysis, transplantation and the overall population. The aim of the study was to assess the incidence of live births from mothers on chronic dialysis compared with the overall population and with kidney transplant patients. Methods The setting of the study is in Italy between 2000-12. Data on dialysis was aquired by phone inquiries that were carried out between June and September, 2013, involving all the public dialysis centres in Italy; the result was a 100% response rate. The date included was end-stage renal disease, type of dialysis, residual glomerular filtration rate, changes in dialysis and therapy, hospitalization; week of birth, birth weight, centile; and outcome of mother and child. Information on transplantation was acquired by inquiry by the kidney and pregnancy study group who were contacted by phone or e-mail; the result was a 60% response rate. Data concerning prevalence of women in childbearing age (20-45) were obtained from the Italian Dialysis and Transplant Registries (2010-11 update). Official site of the Italian Ministry of Health. Results During the study period, 23 women on dialysis (three on peritoneal dialysis) delivered live-born babies and one woman delivered twins (24 babies). Three babies died in the first weeks-months of life (including one twin); 19 of 21 singletons with available data were pre-term (33.3%

Original languageEnglish
Pages (from-to)1578-1586
Number of pages9
JournalNephrology Dialysis Transplantation
Volume29
Issue number8
DOIs
Publication statusPublished - 2014

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Keywords

  • counselling
  • dialysis
  • pregnancy
  • transplantation

ASJC Scopus subject areas

  • Nephrology
  • Transplantation

Cite this

Piccoli, G. B., Cabiddu, G., Daidone, G., Guzzo, G., Maxia, S., Ciniglio, I., Postorino, V., Loi, V., Ghiotto, S., Nichelatti, M., Attini, R., Coscia, A., Postorino, M., & Pani, A. (2014). The children of dialysis: Live-born babies from on-dialysis mothers in Italy - An epidemiological perspective comparing dialysis, kidney transplantation and the overall population. Nephrology Dialysis Transplantation, 29(8), 1578-1586. https://doi.org/10.1093/ndt/gfu092