[Pregnancies in females following kidney and pancreas transplantation].
Uraemic patients are in general infertile. Ovarian function is, however, restored after successful renal transplantation, thus making conception possible. We followed up 14 patients after renal transplantation involving 16 pregnancies. Two patients became pregnant twice, one with twins and the other following renal and pancreatic transplantation--the first recorded in the world. Caesarean section was performed in all patients due to increasing serum creatinin levels, avoid pre-eclampsia or premature rupture of membranes. Both, mother and child in all cases progressed without complications, although these pregnancies are associated with high risk for both. Therefore, a close co-operation between the mother, the nephrologist, the transplantation centre, the gynaecologist and the paediatrician is a prerequisite for a possible favourable course.
Baltzer
J
J
I. Frauenklinik der Universität München.
Kürzl
R
R
Schramm
T
T
Land
W
W
Landgraf
R
R
Eigler
J
J
Gurland
H J
HJ
Kuhlmann
H
H
Lipowsky
G
G
D000014:Abnormalities, Drug-Induced / Q000209:etiology; D000328:Adult; D005260:Female; D005317:Fetal Growth Retardation / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects; D007231:Infant, Newborn; D007677:Kidney Function Tests; D016030:Kidney Transplantation; D016035:Pancreas Transplantation; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology*; D012307:Risk Factors
D007166:Immunosuppressive Agents
Schwangerschaften bei Frauen nach Nieren- bzw. Pankreastransplantation