PMID: 9638909Jun 25, 1998Paper

Pregnancy after liver transplantation

Seminars in Perinatology
H L Casele, S A Laifer

Abstract

This article reviews the reported experience with pregnancy after liver transplantation and describes obstetric risks and medical issues that the maternal fetal medicine specialist has a reference for managing these pregnancies and for providing appropriate preconception counseling. Women who undergo liver transplantations have a higher risk of preeclampsia, worsening hypertension, preterm premature rupture of membranes, anemia, small for gestational age, preterm delivery, and cesarean section than the normal obstetric population. Women with preconceptional renal dysfunction appear to be at greatest risk for pregnancy complications. Women who conceived within 6 months of transplant had a high risk of rejection. Reproductive-aged recipients of liver allograft should receive contraception and preconception counseling. In an appropriately timed and planned pregnancy, women who undergo liver transplantations can have successful pregnancies with little risk to their allograft function.

Citations

Sep 4, 1999·Anesthesia and Analgesia·G KostopanagiotouJ Papadimitriou
Nov 21, 2000·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·V T ArmentiM J Moritz
Oct 23, 2004·Arquivos De Gastroenterologia·Mônica Beatriz ParolinJúlio Cézar Uili Coelho
Jun 11, 2016·Anesthesia and Analgesia·Daria M MoaveniJ Sudharma Ranasinghe
Apr 24, 2004·Obstetrical & Gynecological Survey·Elyce CardonickVincent Armenti
Jan 1, 2014·Journal of Medical Case Reports·Antonia WennersIbrahim Alkatout
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Jul 7, 2009·Arquivos De Gastroenterologia·Mônica Beatriz ParolinMelina Pampuch
Dec 2, 2004·The American Journal of Gastroenterology·Fabiana S Benjaminov, Jenny Heathcote
Nov 28, 2002·Pediatric Transplantation·Deirdre A Kelly
Oct 2, 2008·Obstetrics and Gynecology·Joan M MastrobattistaUNKNOWN Society for Maternal-Fetal Medicine
Feb 22, 2012·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Neha A DeshpandeDorry L Segev
Jun 24, 2008·The Medical Clinics of North America·Mitchell S Cappell
Aug 22, 2008·Journal of Hepatology·Michael A HeneghanBeat Mullhaupt

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