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Successful pregnancy outcome after in vitro fertilization in a pancreas-kidney recipient
Axel Fichez1, Caroline Labrousse, Caroline Fromajoux
1Département de Médecine de Reproduction, Hôpital Edouard Herriot, Lyon, France.
Objective:
To describe the first case of IVF pregnancy in a pancreas-kidney recipient.
Design:
Case report.
Setting:
Reproductive Medicine Department, Hôpital Edouard Herriot, Lyon, France.
Intervention(S):
In vitro fertilization in a pancreas-kidney recipient.
Patient(S):
A 39 year-old nulliparous woman, with primary infertility and a history of pancreas-kidney transplant at 29 years of age.
Main Outcome Measure(S):
Multidisciplinary agreement for the couple to be managed by IVF. Follow-up of pregnancy and delivery.
Result(S):
Singleton IVF pregnancy in a pancreas-kidney recipient, maintained up to 34 weeks. Cesarian delivery ahead of labor. No severe maternal or fetal complications. Live birth. Normal postpartum renal function and glycemia.
Conclusion(S):
An IVF pregnancy is feasible in a pancreas-kidney recipient. Such treatment should follow agreement by all the medical teams following the patient. Pregnancy in a pancreas-kidney recipient is at-risk, requiring close monitoring.
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