Pregnancy and its outcomes in hemodialysis patients in Turkey

Background/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.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Piccoli GB, Cabiddu G, Daidone G, Guzzo G, Maxia S et al. The children of dialysis: live-born babies from on-dialysis mothers in Italy--an epidemiological perspective comparing dialysis, kidney transplantation and the overall population. Nephrology Dialysis Transplantation. 2014; 29 (8): 1578-1586. doi: 10.1093/ ndt/gfu092
2. Hou S. Pregnancy in chronic renal insufficiency and end-stage renal disease. American Journal of Kidney Diseases 1999; 33 (2): 235–252. doi: 10.1016/s0272-6386(99)70296-9
3. Dumanski SM, Ahmed SB. Fertility and reproductive care in chronic kidney disease. Journal of nephrology 2019; 32 (1): 39- 50. doi: 10.1007/s40620-018-00569-9
4. Palmer BF, Clegg DJ. Gonadal dysfunction in chronic kidney disease. Reviews in Endocrine and Metabolic Disorders 2017; 18 (1): 117–130. doi: 10.1007/s11154-016-9385-9
5. Ng HJ, Tan WJ, Mooppil N, Newman S, Griva K. Prevalence and patterns of depression and anxiety in hemodialysis patients: A 12-month prospective study on incident and prevalent populations. British Journal of Health Psychology 2015; 20 (2): 374–395. doi: 10.1111/bjhp.12106
6. Jones DC, Hayslett JP. Outcome of Pregnancy in Women with Moderate or Severe Renal Insufficiency. New England Journal of Medicine 1996; 335 (4): 226–232. doi: 10.1056/ NEJM199607253350402
7. Katarzyna S, Stanisław R, Joanna M-R, Katarzyna S-S. Morphological changes in endometrium of hemodialyzed women of reproductive age. Gynecological Endocrinology 2007; 23 (9): 523-526. doi: 10.1080/09513590701557523
8. Holley JL, Reddy SS. Pregnancy in dialysis patients: a review of outcomes, complications, and management. Seminars in Dialysis 2003 ;16(5):384-388. doi: 10.1046/j.1525- 139x.2003.16085.x
9. Unzelman RF, Alderfer GR, Chojnacki RE. Pregnancy and chronic hemodialysis. Transactions - American Society for Artificial Internal Organs 1973; 19 (1): 144–149. doi: 10.1097/00002480-197301900-00026
10. Kobayashi H, Matsumoto Y, Otsubo O, Otsubo K, Naito T. Successful pregnancy in a patient undergoing chronic hemodialysis. Obstetrics and Gynecology 1981; 57 (3): 382– 386
11. Shahir AK, Briggs N, Katsoulis J, Levidiotis V. An observational outcomes study from 1966-2008, examining pregnancy and neonatal outcomes from dialysed women using data from the ANZDATA Registry. Nephrology (Carlton) 2013; 18 (4): 276– 284. doi: 10.1111/nep.12044
12. Hladunewich MA, Hou S, Odutayo A, Cornelis T, Pierratos A et al. Intensive hemodialysis associates with improved pregnancy outcomes: a Canadian and United States cohort comparison. Journal of the American Society of Nephrology 2014; 25 (5): 1103–1109. doi: 10.1681/ASN.2013080825
13. Giorgina B P, Fosca M, Elisabetta V, Gianfranca C, Rossella A et al. Pregnancy in dialysis patients in the new millennium: a systematic review and meta-regression analysis correlating dialysis schedules and pregnancy outcomes. Nephrology Dialysis Transplantation 2016; 31 (11): 1915-1934. doi: 10.1093/ndt/gfv395
14. Michelle A H, Susan H, Ayodele O, Tom C, Andreas P et al. Intensive hemodialysis associates with improved pregnancy outcomes: a Canadian and United States cohort comparison. Journal of the American Society of Nephrology 2014; 25 (5): 1103-1109. doi: 10.1681/ASN.2013080825
15. Moumita B, Michelle H, Johannes K, Andreas P, Philip M et al. Successful pregnancies on nocturnal home hemodialysis. Clinical Journal of the American Society of Nephrology 2008; 3 (2): 392-396. doi: 10.2215/CJN.04110907
16. Hou SH. Frequency and outcome of pregnancy in women on dialysis. American Journal of Kidney Diseases 1994; 23 (1): 60–63. doi: 10.1016/s0272-6386(12)80813-4
17. Malik GH, Al-Harbi A, Al-Mohaya S, Dohaimi H, Kechrid M et al. Pregnancy in patients on dialysis experience at a referral center. Journal of the Association of Physicians of India 2005; 53: 937–941
18. Registration Committee of the European Dialysis and Transplant Association. Successful pregnancies in women treated by dialysis and kidney transplantation. An International Journal of Obstetrics & Gynaecology 1980; 87 (10): 839–845. doi: 10.1111/j.1471-0528.1980.tb04434.x
19. Chou C-Y, Ting I-W, Lin T-H, Lee C-N. Pregnancy in patients on chronic dialysis: A single center experience and combined analysis of reported results. European Journal of Obstetrics & Gynecology and Reproductive Biology 2008; 136 (2): 165–170. doi: 10.1016/j.ejogrb.2007.01.017
20. Piccoli GB, Conijn A, Consiglio V, Vasario E, Attini R et al. Pregnancy in dialysis patients: is the evidence strong enough to lead us to change our counseling policy? Clinical Journal of the American Society of Nephrology 2010; 5 (1): 62–71. doi: 10.2215/CJN.05660809
21. Asamiya Y, Otsubo S, Matsuda Y, Kimata N, Kikuchi KAN et al. The importance of low blood urea nitrogen levels in pregnant patients undergoing hemodialysis to optimize birth weight and gestational age. Kidney International 2009; 75 (11): 1217–1222. doi: 10.1038/ki.2009.48
22. D Eroğlu, A Lembet, F N Ozdemir, T Ergin, F Kazanci et al. Transplantation Proceedings 2004; 36 (1): 53-55. doi: 10.1016/j. transproceed.2003.11.002
23. Alkhunaizi A, Melamed N, Hladunewich MA. Pregnancy in advanced chronic kidney disease and end-stage renal disease. Current Opinion in Nephrology and Hypertension 2015; 24 (3): 252–259. doi: 10.1097/MNH.0000000000000119
24. Bagon JA, Vernaeve H, De Muylder X, Lafontaine JJ, Martens J et al. Pregnancy and dialysis. American Journal of Kidney Diseases 1998; 31 (5): 756–765. doi: 10.1016/s0272-6386(98)70060-5
25. Jungers P, Chauveau D. Pregnancy in renal disease. Kidney International 1997; 52 (4): 871–885. doi: 10.1038/ki.1997.408
26. Craig KL, Podymow T, Pauly RP. Intensifying renal replacement therapy during pregnancy: the role for nocturnal home hemodialysis. International Urology and Nephrology 2010; 42 (1): 137–139. doi: 10.1007/s11255-009-9680-4
27. Sachdeva M, Barta V, Thakkar J, Sakhiya V, Miller I. Pregnancy outcomes in women on hemodialysis: a national survey. Clinical Kidney Journal 2017; 10 (2): 276-281. doi: 10.1093/ ckj/sfw130
28. Rivera JCH, López MJP, Bermúdez CHC, Covarrubias LG, Aceves LAB et al. Delayed Initiation of Hemodialysis in Pregnant Women with Chronic Kidney Disease: Logistical Problems Impact Clinical Outcomes. An Experience from an Emerging Country. Journal of Clinical Medicine 2019; 8 (4): 475. doi: 10.3390/jcm8040475
29. Luders C, Titan SM, Kahhale S, Francisco RP, Zugaib M. Risk Factors for Adverse Fetal Outcome in Hemodialysis Pregnant Women. Kidney International Reports 2018; 3 (5): 1077–1088. doi: 10.1016/j.ekir.2018.04.013
30. Michelle H, Dori S. Intensive dialysis and pregnancy. Hemodialysis International 2016; 20 (3): 339-348. doi: 10.1111/hdi.12420

APA	dheir h, Gungor O, ULU M, Gok Oguz E, Eren N, Altunoren O, tatar e, ATILGAN K, KARAKÖSE S, GÜNEY I, Eroğlu E, mutluay r, BOZACI İ, ALP A, Akdam H, DEMİRCİ M, Soypacaci Z, Akarsu O, Paydas S, ERCAN Z, Kara E, TOPAL C, Yavaş H, TEKKARISMAZ N, turgutalp k, Hüzmeli c, İNCİ A, Karaveli Gürsoy G, Güneş Keskin A, Huddam B, hur e, Yıldız A, Bekfilavioglu G, Sahutoglu T, TUNCAY M, Bardak S, Bakirdogen S, YILMAZ Z, Günay E, Tunca O, kazan s, Pembegul I, saritas h, sevinc c, Kaptanoğulları H, gökçay bek s, Kurultak I, Değirmenci A, Şakacı M, KILIÇ İ, Aydin Z, Çolak H, DERVISOGLU E, SAHIN G, Aylı M, Sipahi S, DERICI U (2022). Pregnancy and its outcomes in hemodialysis patients in Turkey. , 354 - 360. 10.55730/1300-0144.5322
Chicago	dheir hamad,Gungor Ozkan,ULU MEMNUNE SENA,Gok Oguz Ebru,Eren Necmi,Altunoren Orcun,tatar erhan,ATILGAN KADIR GOKHAN,KARAKÖSE SÜLEYMAN,GÜNEY IBRAHIM,Eroğlu Eray,mutluay ruya,BOZACI İLTER,ALP ALPER,Akdam Hakan,DEMİRCİ Meltem Seziş,Soypacaci Zeki,Akarsu Ozger,Paydas Saime,ERCAN ZAFER,Kara Ekrem,TOPAL Cevat,Yavaş Hakan,TEKKARISMAZ NIHAN,turgutalp kenan,Hüzmeli can,İNCİ Ayça,Karaveli Gürsoy Güner,Güneş Keskin Ayşe Jini,Huddam Bülent,hur ender,Yıldız Abdülmecit,Bekfilavioglu Garip,Sahutoglu Tuncay,TUNCAY Mehmet,Bardak Simge,Bakirdogen Serkan,YILMAZ Zülfikar,Günay Emrah,Tunca Onur,kazan sinan,Pembegul Irem,saritas hazen,sevinc can,Kaptanoğulları Hakan,gökçay bek sibel,Kurultak Ilhan,Değirmenci Ali,Şakacı Murat,KILIÇ İlhan,Aydin Zeki,Çolak Hülya,DERVISOGLU ERKAN,SAHIN GARIP,Aylı Mehmet Deniz,Sipahi Savaş,DERICI ULVER Pregnancy and its outcomes in hemodialysis patients in Turkey. (2022): 354 - 360. 10.55730/1300-0144.5322
MLA	dheir hamad,Gungor Ozkan,ULU MEMNUNE SENA,Gok Oguz Ebru,Eren Necmi,Altunoren Orcun,tatar erhan,ATILGAN KADIR GOKHAN,KARAKÖSE SÜLEYMAN,GÜNEY IBRAHIM,Eroğlu Eray,mutluay ruya,BOZACI İLTER,ALP ALPER,Akdam Hakan,DEMİRCİ Meltem Seziş,Soypacaci Zeki,Akarsu Ozger,Paydas Saime,ERCAN ZAFER,Kara Ekrem,TOPAL Cevat,Yavaş Hakan,TEKKARISMAZ NIHAN,turgutalp kenan,Hüzmeli can,İNCİ Ayça,Karaveli Gürsoy Güner,Güneş Keskin Ayşe Jini,Huddam Bülent,hur ender,Yıldız Abdülmecit,Bekfilavioglu Garip,Sahutoglu Tuncay,TUNCAY Mehmet,Bardak Simge,Bakirdogen Serkan,YILMAZ Zülfikar,Günay Emrah,Tunca Onur,kazan sinan,Pembegul Irem,saritas hazen,sevinc can,Kaptanoğulları Hakan,gökçay bek sibel,Kurultak Ilhan,Değirmenci Ali,Şakacı Murat,KILIÇ İlhan,Aydin Zeki,Çolak Hülya,DERVISOGLU ERKAN,SAHIN GARIP,Aylı Mehmet Deniz,Sipahi Savaş,DERICI ULVER Pregnancy and its outcomes in hemodialysis patients in Turkey. , 2022, ss.354 - 360. 10.55730/1300-0144.5322
AMA	dheir h,Gungor O,ULU M,Gok Oguz E,Eren N,Altunoren O,tatar e,ATILGAN K,KARAKÖSE S,GÜNEY I,Eroğlu E,mutluay r,BOZACI İ,ALP A,Akdam H,DEMİRCİ M,Soypacaci Z,Akarsu O,Paydas S,ERCAN Z,Kara E,TOPAL C,Yavaş H,TEKKARISMAZ N,turgutalp k,Hüzmeli c,İNCİ A,Karaveli Gürsoy G,Güneş Keskin A,Huddam B,hur e,Yıldız A,Bekfilavioglu G,Sahutoglu T,TUNCAY M,Bardak S,Bakirdogen S,YILMAZ Z,Günay E,Tunca O,kazan s,Pembegul I,saritas h,sevinc c,Kaptanoğulları H,gökçay bek s,Kurultak I,Değirmenci A,Şakacı M,KILIÇ İ,Aydin Z,Çolak H,DERVISOGLU E,SAHIN G,Aylı M,Sipahi S,DERICI U Pregnancy and its outcomes in hemodialysis patients in Turkey. . 2022; 354 - 360. 10.55730/1300-0144.5322
Vancouver	dheir h,Gungor O,ULU M,Gok Oguz E,Eren N,Altunoren O,tatar e,ATILGAN K,KARAKÖSE S,GÜNEY I,Eroğlu E,mutluay r,BOZACI İ,ALP A,Akdam H,DEMİRCİ M,Soypacaci Z,Akarsu O,Paydas S,ERCAN Z,Kara E,TOPAL C,Yavaş H,TEKKARISMAZ N,turgutalp k,Hüzmeli c,İNCİ A,Karaveli Gürsoy G,Güneş Keskin A,Huddam B,hur e,Yıldız A,Bekfilavioglu G,Sahutoglu T,TUNCAY M,Bardak S,Bakirdogen S,YILMAZ Z,Günay E,Tunca O,kazan s,Pembegul I,saritas h,sevinc c,Kaptanoğulları H,gökçay bek s,Kurultak I,Değirmenci A,Şakacı M,KILIÇ İ,Aydin Z,Çolak H,DERVISOGLU E,SAHIN G,Aylı M,Sipahi S,DERICI U Pregnancy and its outcomes in hemodialysis patients in Turkey. . 2022; 354 - 360. 10.55730/1300-0144.5322
IEEE	dheir h,Gungor O,ULU M,Gok Oguz E,Eren N,Altunoren O,tatar e,ATILGAN K,KARAKÖSE S,GÜNEY I,Eroğlu E,mutluay r,BOZACI İ,ALP A,Akdam H,DEMİRCİ M,Soypacaci Z,Akarsu O,Paydas S,ERCAN Z,Kara E,TOPAL C,Yavaş H,TEKKARISMAZ N,turgutalp k,Hüzmeli c,İNCİ A,Karaveli Gürsoy G,Güneş Keskin A,Huddam B,hur e,Yıldız A,Bekfilavioglu G,Sahutoglu T,TUNCAY M,Bardak S,Bakirdogen S,YILMAZ Z,Günay E,Tunca O,kazan s,Pembegul I,saritas h,sevinc c,Kaptanoğulları H,gökçay bek s,Kurultak I,Değirmenci A,Şakacı M,KILIÇ İ,Aydin Z,Çolak H,DERVISOGLU E,SAHIN G,Aylı M,Sipahi S,DERICI U "Pregnancy and its outcomes in hemodialysis patients in Turkey." , ss.354 - 360, 2022. 10.55730/1300-0144.5322
ISNAD	dheir, hamad vd. "Pregnancy and its outcomes in hemodialysis patients in Turkey". (2022), 354-360. https://doi.org/10.55730/1300-0144.5322

APA	dheir h, Gungor O, ULU M, Gok Oguz E, Eren N, Altunoren O, tatar e, ATILGAN K, KARAKÖSE S, GÜNEY I, Eroğlu E, mutluay r, BOZACI İ, ALP A, Akdam H, DEMİRCİ M, Soypacaci Z, Akarsu O, Paydas S, ERCAN Z, Kara E, TOPAL C, Yavaş H, TEKKARISMAZ N, turgutalp k, Hüzmeli c, İNCİ A, Karaveli Gürsoy G, Güneş Keskin A, Huddam B, hur e, Yıldız A, Bekfilavioglu G, Sahutoglu T, TUNCAY M, Bardak S, Bakirdogen S, YILMAZ Z, Günay E, Tunca O, kazan s, Pembegul I, saritas h, sevinc c, Kaptanoğulları H, gökçay bek s, Kurultak I, Değirmenci A, Şakacı M, KILIÇ İ, Aydin Z, Çolak H, DERVISOGLU E, SAHIN G, Aylı M, Sipahi S, DERICI U (2022). Pregnancy and its outcomes in hemodialysis patients in Turkey. Turkish Journal of Medical Sciences, 52(2), 354 - 360. 10.55730/1300-0144.5322
Chicago	dheir hamad,Gungor Ozkan,ULU MEMNUNE SENA,Gok Oguz Ebru,Eren Necmi,Altunoren Orcun,tatar erhan,ATILGAN KADIR GOKHAN,KARAKÖSE SÜLEYMAN,GÜNEY IBRAHIM,Eroğlu Eray,mutluay ruya,BOZACI İLTER,ALP ALPER,Akdam Hakan,DEMİRCİ Meltem Seziş,Soypacaci Zeki,Akarsu Ozger,Paydas Saime,ERCAN ZAFER,Kara Ekrem,TOPAL Cevat,Yavaş Hakan,TEKKARISMAZ NIHAN,turgutalp kenan,Hüzmeli can,İNCİ Ayça,Karaveli Gürsoy Güner,Güneş Keskin Ayşe Jini,Huddam Bülent,hur ender,Yıldız Abdülmecit,Bekfilavioglu Garip,Sahutoglu Tuncay,TUNCAY Mehmet,Bardak Simge,Bakirdogen Serkan,YILMAZ Zülfikar,Günay Emrah,Tunca Onur,kazan sinan,Pembegul Irem,saritas hazen,sevinc can,Kaptanoğulları Hakan,gökçay bek sibel,Kurultak Ilhan,Değirmenci Ali,Şakacı Murat,KILIÇ İlhan,Aydin Zeki,Çolak Hülya,DERVISOGLU ERKAN,SAHIN GARIP,Aylı Mehmet Deniz,Sipahi Savaş,DERICI ULVER Pregnancy and its outcomes in hemodialysis patients in Turkey. Turkish Journal of Medical Sciences 52, no.2 (2022): 354 - 360. 10.55730/1300-0144.5322
MLA	dheir hamad,Gungor Ozkan,ULU MEMNUNE SENA,Gok Oguz Ebru,Eren Necmi,Altunoren Orcun,tatar erhan,ATILGAN KADIR GOKHAN,KARAKÖSE SÜLEYMAN,GÜNEY IBRAHIM,Eroğlu Eray,mutluay ruya,BOZACI İLTER,ALP ALPER,Akdam Hakan,DEMİRCİ Meltem Seziş,Soypacaci Zeki,Akarsu Ozger,Paydas Saime,ERCAN ZAFER,Kara Ekrem,TOPAL Cevat,Yavaş Hakan,TEKKARISMAZ NIHAN,turgutalp kenan,Hüzmeli can,İNCİ Ayça,Karaveli Gürsoy Güner,Güneş Keskin Ayşe Jini,Huddam Bülent,hur ender,Yıldız Abdülmecit,Bekfilavioglu Garip,Sahutoglu Tuncay,TUNCAY Mehmet,Bardak Simge,Bakirdogen Serkan,YILMAZ Zülfikar,Günay Emrah,Tunca Onur,kazan sinan,Pembegul Irem,saritas hazen,sevinc can,Kaptanoğulları Hakan,gökçay bek sibel,Kurultak Ilhan,Değirmenci Ali,Şakacı Murat,KILIÇ İlhan,Aydin Zeki,Çolak Hülya,DERVISOGLU ERKAN,SAHIN GARIP,Aylı Mehmet Deniz,Sipahi Savaş,DERICI ULVER Pregnancy and its outcomes in hemodialysis patients in Turkey. Turkish Journal of Medical Sciences, vol.52, no.2, 2022, ss.354 - 360. 10.55730/1300-0144.5322
AMA	dheir h,Gungor O,ULU M,Gok Oguz E,Eren N,Altunoren O,tatar e,ATILGAN K,KARAKÖSE S,GÜNEY I,Eroğlu E,mutluay r,BOZACI İ,ALP A,Akdam H,DEMİRCİ M,Soypacaci Z,Akarsu O,Paydas S,ERCAN Z,Kara E,TOPAL C,Yavaş H,TEKKARISMAZ N,turgutalp k,Hüzmeli c,İNCİ A,Karaveli Gürsoy G,Güneş Keskin A,Huddam B,hur e,Yıldız A,Bekfilavioglu G,Sahutoglu T,TUNCAY M,Bardak S,Bakirdogen S,YILMAZ Z,Günay E,Tunca O,kazan s,Pembegul I,saritas h,sevinc c,Kaptanoğulları H,gökçay bek s,Kurultak I,Değirmenci A,Şakacı M,KILIÇ İ,Aydin Z,Çolak H,DERVISOGLU E,SAHIN G,Aylı M,Sipahi S,DERICI U Pregnancy and its outcomes in hemodialysis patients in Turkey. Turkish Journal of Medical Sciences. 2022; 52(2): 354 - 360. 10.55730/1300-0144.5322
Vancouver	dheir h,Gungor O,ULU M,Gok Oguz E,Eren N,Altunoren O,tatar e,ATILGAN K,KARAKÖSE S,GÜNEY I,Eroğlu E,mutluay r,BOZACI İ,ALP A,Akdam H,DEMİRCİ M,Soypacaci Z,Akarsu O,Paydas S,ERCAN Z,Kara E,TOPAL C,Yavaş H,TEKKARISMAZ N,turgutalp k,Hüzmeli c,İNCİ A,Karaveli Gürsoy G,Güneş Keskin A,Huddam B,hur e,Yıldız A,Bekfilavioglu G,Sahutoglu T,TUNCAY M,Bardak S,Bakirdogen S,YILMAZ Z,Günay E,Tunca O,kazan s,Pembegul I,saritas h,sevinc c,Kaptanoğulları H,gökçay bek s,Kurultak I,Değirmenci A,Şakacı M,KILIÇ İ,Aydin Z,Çolak H,DERVISOGLU E,SAHIN G,Aylı M,Sipahi S,DERICI U Pregnancy and its outcomes in hemodialysis patients in Turkey. Turkish Journal of Medical Sciences. 2022; 52(2): 354 - 360. 10.55730/1300-0144.5322
IEEE	dheir h,Gungor O,ULU M,Gok Oguz E,Eren N,Altunoren O,tatar e,ATILGAN K,KARAKÖSE S,GÜNEY I,Eroğlu E,mutluay r,BOZACI İ,ALP A,Akdam H,DEMİRCİ M,Soypacaci Z,Akarsu O,Paydas S,ERCAN Z,Kara E,TOPAL C,Yavaş H,TEKKARISMAZ N,turgutalp k,Hüzmeli c,İNCİ A,Karaveli Gürsoy G,Güneş Keskin A,Huddam B,hur e,Yıldız A,Bekfilavioglu G,Sahutoglu T,TUNCAY M,Bardak S,Bakirdogen S,YILMAZ Z,Günay E,Tunca O,kazan s,Pembegul I,saritas h,sevinc c,Kaptanoğulları H,gökçay bek s,Kurultak I,Değirmenci A,Şakacı M,KILIÇ İ,Aydin Z,Çolak H,DERVISOGLU E,SAHIN G,Aylı M,Sipahi S,DERICI U "Pregnancy and its outcomes in hemodialysis patients in Turkey." Turkish Journal of Medical Sciences, 52, ss.354 - 360, 2022. 10.55730/1300-0144.5322
ISNAD	dheir, hamad vd. "Pregnancy and its outcomes in hemodialysis patients in Turkey". Turkish Journal of Medical Sciences 52/2 (2022), 354-360. https://doi.org/10.55730/1300-0144.5322