Elective cesarean delivery in non-dialyzed parturient with chronic renal failure

Abstract

Chronic renal failure is rare in pregnancy and often results in significant maternal and neonatal morbidity. When possible, preoperative dialysis is useful to optimize fluid and electrolyte balance. We describe the perioperative management of a parturient who persistently refused dialysis, had an uneventful cesarean delivery under graded epidural anesthesia.

Keywords

• Anesthesia
• cesarean delivery
• chronic renal failure
• epidural
• obstetric