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Related Experiment Videos

[Pregnancy after kidney transplantation].

M Horcicková1, I Reneltová, M Símová

  • 1Klinika nefrologie IKEM, Praha.

Vnitrni Lekarstvi
|October 25, 2000
PubMed
Summary

Pregnancy in women with kidney transplants (renal allografting) resulted in high abortion rates but did not negatively impact long-term graft function. Most pregnancies did not harm the transplanted kidney

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Transplantation proceedings·2005

Area of Science:

  • Nephrology
  • Transplant Surgery
  • Obstetrics and Gynecology

Context:

  • Renal allografting is a life-saving procedure for end-stage renal disease.
  • Women of fertile age receiving kidney transplants may experience pregnancies.
  • Understanding pregnancy outcomes in this population is crucial for patient care.

Purpose:

  • To analyze the outcomes of pregnancies in women who have received kidney transplants.
  • To assess the impact of pregnancy on long-term renal graft function and patient prognosis.

Summary:

  • Between 1966-1997, 244 women of fertile age received kidney transplants, with 32 experiencing 45 pregnancies.
  • Pregnancies resulted in a 64% abortion rate (4 spontaneous, 25 medically advised). Of 16 labours, 4 were uncomplicated; hypertension was common (8 cases).

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  • 15 live births occurred, with 7 premature infants; one infant died later from renal failure. Importantly, pregnancy did not adversely affect long-term graft function or prognosis.

    • Impact:

    • Provides essential data for counseling women of childbearing potential with kidney transplants.
    • Reassures that pregnancy, despite complications, does not typically jeopardize the transplanted kidney's long-term health.
    • Informs clinical management strategies for pregnant kidney transplant recipients.