Abstract
Conception is rare in patients on chronic dialysis and diagnosis is often delayed as it is least expected. Serum beta HCG levels are elevated in both pregnant and non-pregnant dialysis patients, and pregnant dialysis patients have slightly higher beta HCG levels when compared with normal pregnancy. This can be erroneously interpreted as non-viable pregnancy and so results should be viewed with caution. Serial beta HCG levels must be followed when non-viable pregnancy is suspected in a dialysis patient before contemplating termination of pregnancy as described in our case.