Abstract

Pregnancy is rare in haemodialysis (HD) patient as fertility is markedly reduced in these patients due to multiple factors. Successful pregnancy outcome is further difficult in these patients with poor socioeconomic background, where proper take care of the patient is impossible. Providing intensive HD is a common treatment approach when dialyzing a pregnant woman. Nephrologists are now providing 4–4.5 h of HD 6 days a week. There is a trend toward better live birthrates with more intense HD. I report here one case of successful pregnancy in End Stage Renal Disease (ESRD) on maintenance HD in least developed area of Bangladesh. In this case we find a successful pregnancy outcome where following of current recommendations of management is not possible.