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Reproductive health after thoracic transplantation: An ISHLT expert consensus statement
Michelle M Kittleson1, Ersilia M DeFilippis2, Catriona J Bhagra3
1Department of Cardiology, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Summary
Pregnancy after thoracic organ transplantation is achievable for some, requiring specialized multidisciplinary care. Key elements include planning, risk assessment, monitoring, and shared decision-making for optimal maternal and fetal outcomes.
Area of Science:
- Cardiology
- Pulmonology
- Transplant Surgery
- Maternal-Fetal Medicine
Background:
- Pregnancy following thoracic organ transplantation (lung or heart) presents unique challenges.
- Successful outcomes necessitate careful planning and specialized medical oversight.
Framework:
- This consensus statement outlines essential components for managing pregnancy post-transplant.
- Key areas include preconception counseling, risk stratification, and shared decision-making.
Implementation:
- Focuses on optimizing maternal comorbidities and fetal health through rigorous monitoring.
- Emphasizes open communication between patients and the multidisciplinary care team.
Implications:
- Provides guidance on medical and obstetric management, including pharmacologic considerations.
- Aims to improve maternal and fetal outcomes in this high-risk obstetric population.
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