PMID: 11333375May 3, 2001Paper

Pregnancy in transplant recipients

Obstetrical & Gynecological Survey
P K AlstonM J McMahon

Abstract

A growing number of transplant recipients are women of reproductive age or children who will reach reproductive age. Thus, menstrual function and pregnancy increasingly are important issues because fertility is restored to women who were previously unable to conceive. To date, successful pregnancies have been reported in female recipients of kidney, liver, heart, pancreas-liver, bone marrow, and lung transplants. Women often become pregnant while being maintained on numerous medications, including immunosuppressive agents, and their care providers must be able to counsel and care for them. Information to date suggests that immunosuppressive medications are safe for use during pregnancy and are important in preventing maternal and fetal complications secondary to graft rejection. Although no formal guidelines have been established due to limited clinical experience, there are a few criteria that are commonly agreed on to improve the probability of a successful pregnancy outcome and the maintenance of graft function in transplant patients. Successful management of the pregnant transplant patient requires a cooperative effort between the obstetrician and transplant team.

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Citations

Oct 11, 2005·Critical Care Medicine·Marie M BudevStephen Emery
Jun 19, 2013·Transplantation Proceedings·E AlvaroE Moreno
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Nov 22, 2018·Reproductive Sciences·Sara Z GomesEstela Bevilacqua
Mar 12, 2021·Current Medical Research and Opinion·Khaldoon Aljerian

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