Qom University of Medical Sciences Journal

Background and Objective
In the women with chronic renal insufficiency ovulation is suppressed therefore they
rarely become pregnant. If pregnancy occurs, they might encounter many conflictions. It
may lead to death (fetus or mother). The aim of this study was reporting a successful
pregnancy in a patient with advanced chronic renal insufficiency.
Case report
The patient was a 32 years old woman with long period of infertility (8 years). The first
main clinical symptom was abdominal pain especially in hypogastric area as well as
hyperuremia, elevated levels of creatinine (2.9 mg/dl), mild proteinuria and hematuria.
The urine specific gravity was 1010. Sonography data showed asymmetrical small
kidneys. Other complaints were pruritus and flank pain during urination. The primary
diagnosis was chronic renal failure due to probable chronic pyelonephritis. After an
interval she returned with positive pregnancy test. She decided to continue the pregnancy
in despite of obstetrician belief for aborting. During pregnancy, proteinuria reached to
two plus, hemoglobin fell to 9.7, creatinine levels reached to 3.7 mg/dl and blood
pressure was fluctuating between 110/80 and 130/85 mmHg. She admitted in the hospital
in third trimester of pregnancy because of preterm labor. However the pain was
suppressed after starting magnesium sulfate infusion.