Hamad Dheir,Özkan GüngörMemnune Sena Ulu,Ebru Gök Oğuz,Necmi Eren,Orçun Altunören,Erhan Tatar,Kadir Gökhan Atilgan,Ibrahim Güney,Eray Eroğlu,Rüya Mutluay,Ilter Bozaci,Alper Alp,Hakan Akdam,Meltem Seziş Demirci,Zeki Soypaçaci,Özger Akarsu,Saime Paydaş,Zafer Ercan,Ekrem Kara,Cevat Topal,Haldun Hakan Yavaş,Nihan Tekkarişmaz,Kenan TurgutalpCan Hüzmeli,Ayça Inci,Güner Karaveli Gürsoy,Ayşe Jini Güneş Keskin,Bülent Huddam,Ender Hür,Abdulmecit Yildiz,Garip Bekfilavioğlu,Tuncay Şahutoğlu,Mehmet Tuncay,Simge Bardak,Serkan Bakirdöğen,Zülfükar Yilmaz,Emrah Günay,Onur Tunca,Sinan Kazan,Irem Pembegül Yiğit,Hazen Saritaş,Can Sevinç,Hakan Kaptanoğullari,Sibel Gökçay Bek,Ilhan Kurultak,Ali Değirmenci,Murat Şakaci,Ilhan Kiliç,Zeki Aydin,Hülya Çolak,Erkan Dervişoğlu,Garip Şahin,Mehmet Deniz Ayli,Savaş Sipahi,Ülver Derici2022-05-122022-05-122022Dheir, H., Güngör, Ö., Ulu, M. S., Oğuz, E. G., Eren, N., Altunören, O., ... & Derici, Ü. (2022). Pregnancy and its outcomes in hemodialysis patients in Turkey. Turkish Journal of Medical Sciences, 52(2), 354-360.10.3906/sag-2106-120https://hdl.handle.net/20.500.12899/1086Background/aim: This study aimed to investigate pregnancy frequency and evaluate the factors affecting live births in hemodialysis (HD) patients. Materials and methods: Female HD patients whose pregnancy was retrospectively reported between January 1, 2014, and December 31, 2019. The duration of HD, primary disease, and the information on whether the pregnancy resulted in abortion, stillbirth, or live birth, whether the HD duration was prolonged after diagnosing the pregnancy and whether it accompanied preeclampsia were recorded. Results: In this study, we reached 9038 HD female patients’ data in the study. A total of 235 pregnancies were detected in 145 patients. The mean age was 35.42 (35 ± 7.4) years. The mean age at first gestation was 30.8 ± 6.5 years. The average birth week was 32 (28 –36) weeks. A total of 53.8% (no = 78) of the patients had live birth, 51.7% (no = 70) had at least one abortion in the first 20 weeks, and 13.1% (no = 19) had at least one stillbirth after 20 weeks. The rate of patients’ increased numbers of dialysis sessions during pregnancy was 71.7%. The abortion rate was 22.4% in those with increased HD sessions, whereas 79.3% in those not increased HD sessions (p < 0.001). Live birth frequency was 67.2% in the increased HD sessions group and 3.4% in those who did not differ in HD sessions (p < 0.001). Conclusion: For the first time, we reported pregnancy outcomes in HD female patients, covering all regions of Turkey. It has been observed that; increasing the number of HD sessions in dialysis patients will decrease fetal and maternal complications and increase live birth rates.eninfo:eu-repo/semantics/openAccessChronic renal failure,hemodialysis, pregnancy,dialysis session,fatal outcome,infertilityPregnancyArticle10.3906/sag-2106-12052354360348442942-s2.0-85129127091