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Practice Patterns and Attitudes Regarding Pregnancy and Parenthood After Lung Transplantation
Nicole S Gaffney1,2, Greg Snell1,2, Bronwyn Levvey1,2
1Department of Respiratory Medicine, Alfred Health, Melbourne, Australia.
Parenthood after lung transplantation (LuTx) is uncommon, with many centers lacking clear policies. While providers support post-LuTx parenthood, a lack of evidence and guidance hinders safe family planning.
Area of Science:
- Medical research
- Transplant medicine
- Reproductive health
Background:
- Parenthood following lung transplantation (LuTx) is infrequent.
- Limited data exist on pregnancy post-heart transplantation, with no specific data for LuTx recipients regarding broader parenthood. This study addresses this gap.
Purpose of the Study:
- To investigate current practice patterns and attitudes among healthcare providers regarding parenthood in lung transplantation recipients.
- To identify barriers and facilitators to family planning for individuals who have undergone lung transplantation.
Main Methods:
- An anonymous online survey was conducted from October to December 2021.
- The survey was distributed internationally to lung transplantation units and providers.
- 103 responses from pulmonologists, nurses, and transplant coordinators were analyzed.
Main Results:
- Most respondents discuss fertility with recipients, yet clear policies for male and female fertility/parenthood are lacking in most centers.
- Awareness of assisted reproduction, fertility preservation, and pregnancy policies was low.
- Providers expressed ethical concerns but were generally supportive of surrogacy for female recipients and saw no contraindications for male recipients.
Conclusions:
- Healthcare providers are generally supportive of parenthood post-lung transplantation.
- The absence of peer-reviewed evidence, expert consensus, and established policies presents a significant barrier to safe and successful parenthood for LuTx recipients.
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