Unexpected and late diagnosis (28th week) of pregnancy in a 39-year-old patient on chronic haemodialysis.

Sir, Patients undergoing chronic dialysis often believe they are unable to conceive, because of irregular menstruations and decreased libido; consequently, they do not regularly use contraceptive methods. Pregnancy is detected late, particularly in patients on peritoneal dialysis [1]. Early detection of pregnancy in dialysis patients is very important, in order to choose adequate methods for follow-up and treatment; late diagnosis increases the risk of maternal and foetal complications. We present a case of chronic haemodialysis, in which pregnancy was detected in the last trimester of pregnancy.