Display options
Cite
Kovács DÁ, Szabó L, Jenei K, et al. Pregnancy management of women with kidney transplantation. Interv Med Appl Sci. 2015;7(4):161-5doi: 10.1556/1646.7.2015.4.5.
Kovács, D. �. �., Szabó, L., Jenei, K., Fedor, R., Zádori, G., Zsom, L., Kabai, K., Záhonyi, A., Asztalos, L., & Nemes, B. (2015). Pregnancy management of women with kidney transplantation. Interventional medicine & applied science, 7(4), 161-5. https://doi.org/10.1556/1646.7.2015.4.5
Kovács, Dávid Ágoston, et al. "Pregnancy management of women with kidney transplantation." Interventional medicine & applied science vol. 7,4 (2015): 161-5. doi: https://doi.org/10.1556/1646.7.2015.4.5
Kovács DÁ, Szabó L, Jenei K, Fedor R, Zádori G, Zsom L, Kabai K, Záhonyi A, Asztalos L, Nemes B. Pregnancy management of women with kidney transplantation. Interv Med Appl Sci. 2015 Dec;7(4):161-5. doi: 10.1556/1646.7.2015.4.5. PMID: 26767122; PMCID: PMC4701166.
Copy Download .nbib Format: NLM
Share it on

Interv Med Appl Sci. 2015 Dec;7(4):161-5. doi: 10.1556/1646.7.2015.4.5.

Pregnancy management of women with kidney transplantation.

Interventional medicine & applied science

Dávid Ágoston Kovács, László Szabó, Katalin Jenei, Roland Fedor, Gergely Zádori, Lajos Zsom, Krisztina Kabai, Anita Záhonyi, László Asztalos, Balázs Nemes

Affiliations

  1. Institute of Surgery, University of Debrecen , Debrecen , Hungary.
  2. Institute of Obstetrics and Gynecology, University of Debrecen , Debrecen , Hungary.

PMID: 26767122 PMCID: PMC4701166 DOI: 10.1556/1646.7.2015.4.5

Abstract

Women with renal disease, besides many dysfunctions, face increasing infertility and high-risk pregnancy due to uremia and changes of the hormonal functions. After renal transplantation, sexual dysfunction improves, providing the possibility of successful pregnancy for women of childbearing age. However, kidney transplanted patients are high-risk pregnant patients with increased maternal and fetal risks, and the graft also may be compromised during pregnancy; most studies report on several successive deliveries due to multidisciplinary team management. In clinical practice, the graft is rarely affected during the period of gestation. Fetal development disorders are also rare although preterm delivery and intrauterine growth retardation are common. For now, several studies and clinical investigations proved that, under multidisciplinary control, kidney transplanted female patients are also possible to have safe pregnancy and successful delivery. There are conflicting data in the literature about the prevention of complications and the timing of pregnancy. Herein, we would like to present some experience of our centre. A total of 847 kidney transplantations have been performed between June 1993 and December 2013 with 163 childbearing aged females (18-45 years) in our center. We report on three kidney transplanted patients who have given birth to healthy newborns. In our practice, severe complications have not been observed.

Keywords: high-risk pregnancy; kidney transplantation; pregnancy management

References

  1. Am J Transplant. 2005 Jul;5(7):1592-9 - PubMed
  2. Transplant Proc. 2008 Sep;40(7):2446-8 - PubMed
  3. Nephrol Dial Transplant. 2012 Sep;27(9):3428-34 - PubMed
  4. Tunis Med. 2014 Aug-Sep;92(8-9):523-6 - PubMed
  5. Transplant Proc. 2011 May;43(4):1223-4 - PubMed
  6. Transplantation. 2006 Mar 15;81(5):660-4 - PubMed
  7. Transplant Proc. 2005 Sep;37(7):3085-6 - PubMed
  8. Adv Chronic Kidney Dis. 2007 Apr;14(2):191-8 - PubMed
  9. Semin Perinatol. 2007 Dec;31(6):339-47 - PubMed
  10. Curr Opin Nephrol Hypertens. 2015 May;24(3):252-9 - PubMed
  11. Clin J Am Soc Nephrol. 2008 Mar;3 Suppl 2:S117-25 - PubMed
  12. Transplant Proc. 2009 Nov;41(9):3964-6 - PubMed
  13. Urol J. 2007 Winter;4(1):14-7 - PubMed
  14. Interv Med Appl Sci. 2013 Mar;5(1):26-30 - PubMed
  15. Adv Chronic Kidney Dis. 2007 Apr;14(2):178-90 - PubMed
  16. Adv Chronic Kidney Dis. 2007 Apr;14(2):168-77 - PubMed
  17. N Engl J Med. 2006 Mar 23;354(12):1281-93 - PubMed
  18. Interv Med Appl Sci. 2013 Mar;5(1):21-5 - PubMed
  19. Transplant Proc. 2009 Nov;41(9):3962-3 - PubMed
  20. J Obstet Gynaecol Res. 2015 Sep;41(9):1337-44 - PubMed

Publication Types