GESTAÇÃO INESPERADA DE UMA JOVEM DIALÍTICA COM HISTÓRICO DE CARDIOPATIA GRAVE TENDO UM DESFECHO FAVORÁVEL PARA AMBOS: RELATO DE EXPERIÊNCIA

Pregnancy in chronic renal patients undergoing Renal Replacement Therapy, in the past, was uncommon, but the increase in pregnancies in these patients has transformed this scenario and made this reality more frequent, despite challenges. Going through this maternal phase creates uncertainty and fear in most pregnant women, however, it highlights the particular concern of pregnant women with this condition, given the additional challenges of reconciling the pre-existing condition, treatment and physiological changes during pregnancy. This experience report aims to show the successful management of an unexpected pregnancy in a 24-year-old patient, on dialysis for two years and six months and with a history of severe heart disease, from 20 weeks of pregnancy until the predominant birth. Once the pregnancy was confirmed, strict changes were imposed on the conduct of hemodialysis treatment during the gestational period, with the aim of reducing clinical and obstetric complications for the maternal-fetal binomial, such as transfer to daily dialysis and nutritional changes, in addition to leaving the nephrology team under surveillance, as these changes can be constant