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Related Concept Videos

Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
Acute Kidney Injury III: Clinical Manifestations01:29

Acute Kidney Injury III: Clinical Manifestations

Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
Kidney Structure01:45

Kidney Structure

The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.

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Related Experiment Video

Updated: Jun 24, 2026

Robot-Assisted Kidney Transplantation
07:30

Robot-Assisted Kidney Transplantation

Published on: July 19, 2021

Pregnancy outcomes after kidney donation.

H N Ibrahim1, S K Akkina, E Leister

  • 1Division of Renal Diseases and Hypertension, University of Minnesota, Minneapolis, MN, USA. ibrah007@umn.edu

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
|April 9, 2009
PubMed
Summary

Pregnancy outcomes after kidney donation are generally favorable but show increased risks for fetal loss and maternal complications like gestational diabetes and preeclampsia compared to predonation pregnancies.

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Heterotopic Renal Autotransplantation in a Porcine Model: A Step-by-Step Protocol
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Heterotopic Renal Autotransplantation in a Porcine Model: A Step-by-Step Protocol

Published on: February 21, 2016

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Last Updated: Jun 24, 2026

Robot-Assisted Kidney Transplantation
07:30

Robot-Assisted Kidney Transplantation

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Heterotopic Renal Autotransplantation in a Porcine Model: A Step-by-Step Protocol
11:47

Heterotopic Renal Autotransplantation in a Porcine Model: A Step-by-Step Protocol

Published on: February 21, 2016

Area of Science:

  • Nephrology
  • Obstetrics
  • Public Health

Background:

  • Kidney donation is a significant medical procedure with long-term implications.
  • Previous studies suggested favorable pregnancy outcomes for kidney donors.
  • A comprehensive understanding of postdonation pregnancy risks is crucial for donor counseling.

Purpose of the Study:

  • To evaluate fetal and maternal outcomes in a large cohort of kidney donors.
  • To compare pregnancy outcomes before and after kidney donation.
  • To assess the safety of pregnancy following living kidney donation.

Main Methods:

  • A retrospective survey of 1589 kidney donors who reported 3213 pregnancies.
  • Comparison of pregnancy outcomes (fetal loss, delivery type, maternal complications) between postdonation and predonation pregnancies.
  • Statistical analysis to determine the significance of observed differences.

Main Results:

  • Postdonation pregnancies showed lower rates of full-term deliveries (73.7% vs. 84.6%) and higher fetal loss rates (19.2% vs. 11.3%) compared to predonation.
  • Increased incidence of gestational diabetes (2.7% vs. 0.7%), gestational hypertension (5.7% vs. 0.6%), proteinuria (4.3% vs. 1.1%), and preeclampsia (5.5% vs. 0.8%) in postdonation pregnancies.
  • Pregnancy outcomes postdonation were comparable to the general population but inferior to predonation outcomes.

Conclusions:

  • While pregnancy postkidney donation is generally safe, there are statistically significant increases in adverse fetal and maternal outcomes compared to predonation pregnancies.
  • Living kidney donors experience pregnancy risks similar to the general population but higher than their own predonation pregnancies.
  • These findings highlight the need for careful counseling and monitoring of kidney donors throughout their reproductive lives.