{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T19:06:08Z","timestamp":1779044768358,"version":"3.51.4"},"reference-count":64,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perit Dial Int"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pregnancy with kidney failure is challenging, even more so with peritoneal dialysis (PD). The pregnancy rate is 50% lower while on PD than on hemodialysis, and usually, patients transition to hemodialysis to support better outcomes. There are only a few reported cases of pregnancy carried beyond 32 weeks\u2019 gestation on PD alone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We present a patient treated with PD for over two years at the time of natural conception. Higher clearance needs arose during pregnancy, but the patient did not transition to hemodialysis due to fear of hematological infections and need for new dialysis access. With the patient's consent and discussions with the pharmacy medical liaison, at 30 weeks, her PD regimen was modified to include Icodextrin to support adequacy and volume control. This adjustment aided in pregnancy reaching 32w4d when she delivered a viable infant. Though our patient underwent a cesarean section, she stayed on PD with appropriate modifications, not needing hemodialysis at any time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results and Conclusions<\/jats:title>\n                    <jats:p>We present the challenges and report a successful outcome of such a pregnancy, along with the off-label use of Icodextrin as add-on therapy during the third trimester. We opine that Icodextrin did not adversely impact the course; it helped carry the pregnancy forward a few more critical weeks. This is also a unique case report of a pregnancy while on PD in a pacific islander and only one of five cases of Pregnancy on PD in women over 40.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08968608261441436","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T14:52:32Z","timestamp":1777042352000},"page":"240-251","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pregnancy with peritoneal dialysis- a challenge revisited"],"prefix":"10.1177","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0840-1784","authenticated-orcid":false,"given":"Randall R","family":"Rainwater","sequence":"first","affiliation":[{"name":"University of Arkansas for Medical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salima","family":"Valiani","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6014-1337","authenticated-orcid":false,"given":"Manisha","family":"Singh","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences"},{"name":"University of Arkansas for Medical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"United States Renal Data System. 2023 USRDS Annual Data Report: Epidemiology of kidney disease in the United States. National Institutes of Health National Institute of Diabetes and Digestive and Kidney Diseases. Published online 2023."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(98)70044-7"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(13)80003-0"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2016.00051"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfv395"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2006.03.033"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/089686080202200218"},{"key":"e_1_3_3_9_2","first-page":"74","article-title":"Pregnancy and peritoneal dialysis: an updated review","volume":"6","author":"Lim C","year":"2018","unstructured":"Lim C, Wah F. Pregnancy and peritoneal dialysis: an updated review. Eur Med J Nephrol 2018; 6: 74\u201384.","journal-title":"Eur Med J Nephrol"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12030832"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/089686089401402S01"},{"key":"e_1_3_3_12_2","first-page":"18","article-title":"Clinical effects of icodextrin in peritoneal dialysis","volume":"1","author":"Cnossen TT","year":"2008","unstructured":"Cnossen TT, Konings CJ, Van Der Sande FM, et al. Clinical effects of icodextrin in peritoneal dialysis. NDT Plus 2008; 1: 18\u201322.","journal-title":"NDT Plus"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/2054358116669129"},{"key":"e_1_3_3_14_2","unstructured":"Vantive US Healthcare LLC. EXTRANEAL- Icodextrin Sodium Chloride Sodium Lactate Calcium Chloride Magnesium Chloride Injection Solution. 2002."},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.5414\/CNCS110828"},{"key":"e_1_3_3_16_2","first-page":"287","article-title":"Embarazo en mujeres en di\u00e1lisis cr\u00f3nica: revisi\u00f3n","volume":"32","author":"Furaz-Czerpak KR","year":"2012","unstructured":"Furaz-Czerpak KR, Fern\u00e1ndez-Ju\u00e1rez G, \u00c1ngeles Moreno-de la Higuera M, et al. Embarazo en mujeres en di\u00e1lisis cr\u00f3nica: revisi\u00f3n. Nefrologia 2012; 32: 287\u2013294.","journal-title":"Nefrologia"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1073-4449(98)70011-1"},{"key":"e_1_3_3_18_2","doi-asserted-by":"crossref","unstructured":"Orlowska-Kowalik G Malecka-Massalska T Ksiazek A. Successful Pregnancy in a Chronically Hemodialyzed Patient with End-Stage Renal Failure. Vol 27. 2009.","DOI":"10.4103\/0971-4065.50678"},{"key":"e_1_3_3_19_2","first-page":"74","article-title":"Full term pregnancy and successful delivery in a patient on chronic hemodialysis","volume":"8","author":"Confortini P","year":"1971","unstructured":"Confortini P, Galanti G, Ancona G, et al. Full term pregnancy and successful delivery in a patient on chronic hemodialysis. Proc Eur Dial Transplant Assoc 1971; 8: 74\u201380.","journal-title":"Proc Eur Dial Transplant Assoc"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(98)70060-5"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2020.06.001"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1980.tb04434.x"},{"key":"e_1_3_3_23_2","first-page":"276","article-title":"Pregnancy outcomes in women on hemodialysis: a national survey","volume":"10","author":"Sachdeva M","year":"2017","unstructured":"Sachdeva M, Barta V, Thakkar J, et al. Pregnancy outcomes in women on hemodialysis: a national survey. Clin Kidney J 2017; 10: 276\u2013281.","journal-title":"Clin Kidney J"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2018.06.008"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2013080825"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.3390\/women1010005"},{"key":"e_1_3_3_27_2","first-page":"395","article-title":"Successful completion of pregnancy in a dialyzed patient","volume":"41","author":"Fialova J","year":"1995","unstructured":"Fialova J, Nemecek K, Umnerova V, et al. Successful completion of pregnancy in a dialyzed patient. Intern Med 1995; 41: 395\u2013399.","journal-title":"Intern Med"},{"key":"e_1_3_3_28_2","unstructured":"Mcligeyo PIAPOCAPD; ACRSO Chb MB Mmed ( Nbi) JO Swao MB Chb M. Pregnancy in a patient on continous ambulatory peritoneal dialysis (CAPD): A case report. Vol 69. 1992."},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.31083\/j.ceog.2020.04.5233"},{"key":"e_1_3_3_30_2","first-page":"11148","article-title":"A case report of successful pregnancy and delivery after peritoneal dialysis in a patient misdiagnosed with primary infertility","volume":"97","author":"Choi CY","year":"2018","unstructured":"Choi CY, Cho NJ, Park S, et al. A case report of successful pregnancy and delivery after peritoneal dialysis in a patient misdiagnosed with primary infertility. Medicine (United States) 2018; 97: 11148.","journal-title":"Medicine (United States)"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753495X17737002"},{"key":"e_1_3_3_32_2","doi-asserted-by":"crossref","unstructured":"Hou S Orlowski J Pahl M et al. Pregnancy in Women With End-Stage Renal Disease: Treatment of Anemia and Premature Labor. 1993.","DOI":"10.1016\/S0272-6386(12)80714-1"},{"key":"e_1_3_3_33_2","doi-asserted-by":"crossref","unstructured":"Klinkert J Koopman MG Wolf H. Pregnancy in a Patient with Autosomal-Dominant Polycystic Kidney Disease and Congenital Hepatic Fibrosis. Vol 76. 1998.","DOI":"10.1016\/S0301-2115(97)00153-X"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-139X.2003.16085.x"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.7326\/M14-1884"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-139X.2003.16083.x"},{"key":"e_1_3_3_37_2","first-page":"99","article-title":"Hemodialysis and pregnancy: technical aspects","volume":"78","author":"Vazquez-Rodriguez J","year":"2010","unstructured":"Vazquez-Rodriguez J. Hemodialysis and pregnancy: technical aspects. Cir Cir 2010; 78: 99\u2013102.","journal-title":"Cir Cir"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/8276912"},{"key":"e_1_3_3_39_2","article-title":"Successful pregnancy and delivery in uremic patients with maintenance hemodialysis: A case report","volume":"97","author":"Cao Y","year":"2018","unstructured":"Cao Y, Zhang Y, Wang X, et al. Successful pregnancy and delivery in uremic patients with maintenance hemodialysis: A case report. Medicine (United States) 2018; 97: e13614.","journal-title":"Medicine (United States)"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.xkme.2020.12.003"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-017-0540-7"},{"key":"e_1_3_3_42_2","article-title":"Successful pregnancy in a 31-year-old peritoneal dialysis patient with bilateral nephrectomy","volume":"2013","author":"Abu-Zaid A","year":"2013","unstructured":"Abu-Zaid A, Nazer A, AlOmar O, et al. Successful pregnancy in a 31-year-old peritoneal dialysis patient with bilateral nephrectomy. Case Rep Obstet Gynecol 2013; 2013: \u20135.","journal-title":"Case Rep Obstet Gynecol"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.1159\/000531157"},{"key":"e_1_3_3_44_2","unstructured":"Causes of Hypermagnesaemia: A Literature Review. 2021."},{"key":"e_1_3_3_45_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-019-1560-2"},{"key":"e_1_3_3_46_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ki.5002600"},{"key":"e_1_3_3_47_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9041103"},{"key":"e_1_3_3_48_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39406.652986.BE"},{"key":"e_1_3_3_49_2","doi-asserted-by":"publisher","DOI":"10.34067\/KID.0006922021"},{"key":"e_1_3_3_50_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfr580"},{"key":"e_1_3_3_51_2","first-page":"185","article-title":"Sterile peritonitis after administration of icodextrin","volume":"56","author":"Ekart R","year":"2002","unstructured":"Ekart R, Pecovnik-Balon B, Dvorsak B, et al. Sterile peritonitis after administration of icodextrin. Acta Med Croatica 2002; 56: 185\u2013187.","journal-title":"Acta Med Croatica"},{"key":"e_1_3_3_52_2","first-page":"7","volume-title":"Drug principles in lactation Pharmacotherapy Self-Assessment Program","author":"Kelsey J","year":"2016","unstructured":"Kelsey J. Drug principles in lactation Pharmacotherapy Self-Assessment Program. Lenexa, Kansas, USA: American College of Clinical Pharmacy, 2016, pp.7\u201324."},{"key":"e_1_3_3_53_2","doi-asserted-by":"publisher","DOI":"10.1177\/089033449701300219"},{"key":"e_1_3_3_54_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu13082737"},{"key":"e_1_3_3_55_2","doi-asserted-by":"crossref","unstructured":"Gokal R Moberly J Lindholm B et al. Metabolic and Laboratory Effects of Icodextrin S-62. Vol 62. 2002.","DOI":"10.1046\/j.1523-1755.62.s81.9.x"},{"key":"e_1_3_3_56_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-33480-w"},{"key":"e_1_3_3_57_2","doi-asserted-by":"publisher","DOI":"10.1177\/089686080502500213"},{"key":"e_1_3_3_58_2","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12938"},{"key":"e_1_3_3_59_2","doi-asserted-by":"publisher","DOI":"10.2165\/00003495-200363190-00011"},{"key":"e_1_3_3_60_2","unstructured":"HIGHLIGHTS OF PRESCRIBING INFORMATION. www.fda.gov\/medwatch."},{"key":"e_1_3_3_61_2","doi-asserted-by":"publisher","DOI":"10.1177\/089686089701700613"},{"key":"e_1_3_3_62_2","doi-asserted-by":"publisher","DOI":"10.1093\/hsw\/23.2.116"},{"key":"e_1_3_3_63_2","unstructured":"Keawe\u2019aimoku Kaholokula J Saito E Mau MK et al. Pacific Islanders\u2019 Perspectives on Heart Failure Management."},{"key":"e_1_3_3_64_2","doi-asserted-by":"crossref","unstructured":"Aramoana J Koea J. Special series: cancer care in indigenous populations review articles an integrative review of the barriers to indigenous peoples participation in biobanking and genomic research. 2019. 10.","DOI":"10.1200\/JGO.18.00156"},{"key":"e_1_3_3_65_2","article-title":"Dialysis and pregnancy-a review","volume":"5","author":"Kothari M","year":"2019","unstructured":"Kothari M, Hampton TD, Singh M. Dialysis and pregnancy-a review. Int J Nephrol Kidney Fail 2019; 5. DOI: 10.16966\/2380- 5498.175.","journal-title":"Int J Nephrol Kidney Fail"}],"container-title":["Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08968608261441436","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08968608261441436","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08968608261441436","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T18:11:04Z","timestamp":1779041464000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08968608261441436"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,24]]},"references-count":64,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/08968608261441436"],"URL":"https:\/\/doi.org\/10.1177\/08968608261441436","relation":{},"ISSN":["0896-8608","1718-4304"],"issn-type":[{"value":"0896-8608","type":"print"},{"value":"1718-4304","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,24]]}}}