Home Hemodialysis during Pregnancy

Review Data

Q: Is the topic relevant to the journal area of interest? Is it contemporary and interesting for

researchers?

A: Good

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Good

Comments: Abstract not applicable.

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

Comments: Not applicable.

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Good

Tools and Methods

Q: Are methods the author uses adequate and well used?

A: Good

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Good

Comments: The Discussion establishes that for pregnant women with end-stage kidney disease (ESKD) intensification of both length and frequency of hemodialysis is necessary to reduce the risk of preterm delivery and low birth weight. To reach such an intensive hemodialysis programme, home hemodialysis (HHD) under the control of experienced multidisciplinary staff throughout the pregnancy should be performed. The study recommends fetal and maternal monitoring should be done once weekly from 26 weeks onwards and planned induction for the delivery. Relevant literature has been cited to support the discussion. The study concludes that pregnancies under hemodialysis have a much better prognosis when the duration and frequency of hemodialysis is intensified.

Literature

Q: Does the author utilize relevant literature?

A: Good

Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Good

Length

Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Good

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

Comments: Not applicable.

Writing style

Q: Is it clear and understandable?

A: Good

Comments: Except the following error was detected:

1.     The phrase “ultrasound-Doppler” in the 5^th sentence under the Case Report subheading was not framed properly and should be replaced with “Doppler ultrasound”.

Further comments on the paper

Comments: The letter to the editor presents the case of the successful outcome of a pregnancy in a 36-year-old patient, G2P1, suffering from type 1 diabetes with end-stage kidney disease (ESKD) mainly managed with intensive home hemodialysis (HHD) throughout pregnancy. She had a medical history of normal vaginal delivery at 36 weeks for preeclampsia before ESKD. Pregnancy in women with ESKD and dialysis is a challenge which demands specific management. The postpartum outcome was unremarkable for both mother and infant and they were discharged on day 4. The study concludes that pregnancies under hemodialysis have a much better prognosis when the duration and frequency of hemodialysis is intensified. To reach such an intensive hemodialysis programme, HHD under the control of experienced multidisciplinary staff throughout the pregnancy should be performed.

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Science Repository Team