Do you recommend gradual initiation of dialysis or conventional initiation of dialysis for pregnant patients with worsening renal function who require dialysis?

The reason for gradual initiation of HD is to avoid dialysis disequilibrium, which is more likely to occur at higher levels of uremic toxins and chronic brain responses to chronic high osmotic loads.

Initiation of HD in pregnant patients often occurs at GFR levels that are much higher than those use...