Every baby is a little miracle. Holding the tiny hands and feet, the first scream, the first smile are unforgettable moments in the life of all parents. For Rhana Bakht, however, it was even more than that when she held her son Louis in her arms for the first time. The 34-year-old has been on dialysis for almost 20 years and still gave birth to a healthy son beginning of the year.
“When I found out I was pregnant, I was initially shocked,” says Rhana Bakht today, “The pregnancy was not planned, of course. As a dialysis patient, it is a big risk, but it was clear to me that I wanted to have the child.” Pregnancy in dialysis patients can lead to a variety of complications, but it is quite possible if gynecologists and nephrologists closely work together. Dr. Andreas Dillmann, Dr. Dominik Kahlke and Dr. Janine Rothgordt, specialists in internal medicine and nephrology in our MVZ in Hamburg/Germany, accompanied Rhana Bakhat throughout the entire time of pregnancy: “For us, a pregnant patient is of course not an everyday case, but we have worked together very well with the colleagues and the pregnancy went well for the longest time “, says Dr. Dillmann.
During pregnancy, the unborn child is connected to the mother’s blood circulation via the umbilical cord. If the mother´s kidney is not working properly, the child is also contaminated with the pollutants in the blood. Therefore it is important to dialyse the patient as often as possible. “We have dialysed her six times a week for five hours, changed the composition of the dialysate and adjusted the patient’s diet to compensate the loss of protein,” explains Dr. Kahlke. “In addition, we changed the medication and sonographically checked the target weight every week.”
The pregnancy went well for Rhana Bakht until the very end when she started to suffered from the HELLP syndrome. This is a form of pre-eclampsia in which the number of blood platelets responsible for blood clotting decreases sharply within hours. In this case the patient suffers from severe pain in the upper abdomen and swelling of the hands, legs or face. Also, blurred vision, yellowing of the skin, sudden nausea, diarrhea and vomiting or skin jaw can indicate that the pregnant woman suffers from the HELLP syndrome. High blood pressure and protein in the urine are also characteristic features. As soon as it became clear that Mrs. Bakht was suffering from HELLP syndrome, the doctors arranged for a caesarean section not to endanger the life of mother and child. Louis was born on March 13. After a few weeks, he and his mother were able to leave the hospital.
But how do you cope with a newborn and regular dialysis sessions? “In the beginning, it was not easy, since the health insurance company does not provide us with a nanny and my husband is fully employed. I had to bring Louis with me to the dialysis clinic for a while but took perfectly care of , “says Rhana Bakht. “Now, we have found our routines and it is wonderful to see Louis learning new things every day!”
We wish Mrs Bakht and her family all the best for the future!