20 January 2026
: Case report 
Clinical Course and Considerations of a Stage G4 Chronic Kidney Disease Patient Who Successfully Initiated Dialysis During Pregnancy and Discontinued It Postpartum
Unusual clinical course, Unusual setting of medical care
Maki Okamoto ADEF 1, Taisuke Shimizu AB 1, Mariko Sato B 1, Sachi Kijima B 2, Sumiko Era B 2, Takatsugu Iwashita C 1, Akihiko Kikuchi B 2, Yasushi Takai
B 3, Akito Maeshima A 1, Hajime Hasegawa A 1, Tomonari Ogawa AF 1*
DOI: 10.12659/AJCR.949709
Am J Case Rep 2026; 27:e949709
Figure 3 Fluid volume assessment and dialysis fluid removal. X-axis: gestational age until birth and 3 days postpartum (3d P); Left Y-axis: amniotic fluid index (AFI, in cm) and the volume of fluid removal (L); Right Y-axis: extracellular water/total body water ratio (ECW/TBW) and maternal body weight (kg). AFI – amniotic fluid index; ECW/TBW – extracellular/total body water; P – postpartum.