Starting dialysis after conception, not before, may improve birth rates in women with end-stage renal disease, Australian researchers reported online ahead of print in the Clinical Journal of the American Society of Nephrology.

Shilpa Jesudason, MBBS, PhD, of Royal Adelaide Hospital, and colleagues studied 77 pregnancies. Fifty-three women conceived after starting chronic dialysis and 24 conceived before starting chronic dialysis.

Compared with women who conceived after starting dialysis, those who conceived prior to starting dialysis had a better live birth rate (91% vs. 63%). Women who conceived after starting dialysis had a higher rate of early pregnancy loss. Birth weights and gestational ages were similar for both groups.

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