TITLE:
Accidental Discovery of Pregnancy during End-Stage Chronic Renal Failure: A Case Study at Fousseyni DAOU Hospital in Kayes, Mali, and Review of the Literature
AUTHORS:
Magara Samake, Aboubacar Sidiki Fofana, Niakale Diakite, Seydou Sy, Sitapha Dembele, Sidy Mohama Toure, Hamadoun Yattara, Ballan Macalou, Sah dit Baba Coulibaly, Djeneba Maiga, Mamadou Badou Sanogo, Penda Tounkara, Moctar Coulibaly, Bakary Diarra, Famory Kamissoko, Sahare Fongoro
KEYWORDS:
Pregnancy, Chronic Haemodialysis, Kayes, Mali
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.16 No.9,
September
23,
2026
ABSTRACT: Pregnancy during end-stage chronic renal failure is rare. Its management is complex, requiring rigorous adjustment of dialysis parameters, early therapeutic adaptations to limit teratogenicity, and enhanced management of complications of chronic renal failure. We present a case of pregnancy in a 24-year-old patient with impaired renal function at 2206 µmol/l at 7 weeks + 2 days of pregnancy upon admission to nephrology. The outcome was marked by the birth by caesarean section at 34 weeks of a live male child weighing 1600 g after chronic haemodialysis with four weekly sessions of 4 hours 30 minutes, optimisation of blood pressure readings, and correction of anaemia and phospho-calcic disorders. Conclusion: Managing pregnancy during chronic dialysis in a resource-limited setting remains difficult and requires intensified dialysis and close collaboration between nephrologists, obstetrician-gynaecologists, paediatricians and anaesthetists.