Pregnancies in renal transplant recipients--with a focus on the maternal issues.
One hundred and thirteen pregnancies in 73 women who received a renal transplant were studied. The duration between the transplant operation and the conception averaged 19.9 months with a range of I month to 72 months. The mean age was 28 years. The majority (50 recipients had one pregnancy each, but two women had 5 children each and one had seven children). Only 12 (11.5%) out of the 113 pregnancies ended up with spontaneous abortions. The maternal medical problems encountered were reversible rejection in 11%, hypertension in 43%, UTI in 17% and gestational diabetes in 21%. It was noted that there was high incidence of preterm delivery in 64% of the pregnancies Caesarian section was required in 72% % of the cases. In conclusion we observed a high prevalence of successful pregnancies with no adverse effect on the allograft function and excellent fetal outcome (which is described in a separate paper focusing on the fetal outcome).
Al-Khader
A A
AA
Hypertension and Renal Transplantation, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia. aaalkhader@hotmail.com
Al-Ghamdi
Basri
N
N
Shaheen
F
F
Hejaili
Flaiw
Qureshi
J
J
Jumani
A
A
D000022:Abortion, Spontaneous / Q000453:epidemiology; D000328:Adult; D016572:Cyclosporine / Q000008:administration & dosage / Q000627:therapeutic use; D016640:Diabetes, Gestational / Q000453:epidemiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D007166:Immunosuppressive Agents / Q000008:administration & dosage / Q000627:therapeutic use; D015994:Incidence; D007668:Kidney / Q000503:physiopathology; D016030:Kidney Transplantation; D008499:Medical Records; D008875:Middle Aged; D011184:Postoperative Period; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D011249:Pregnancy Complications, Cardiovascular / Q000453:epidemiology; D013997:Time Factors; D014552:Urinary Tract Infections / Q000453:epidemiology
D007166:Immunosuppressive Agents; D016572:Cyclosporine