title: [Pregnancy after kidney transplantation. Case load of the Transplantation Center of Vicenza].
abstract: BACKGROUND
  Pregnancy after kidney transplant has become possible thanks to recent surgical and pharmacological breakthroughs.
  
  
  METHODS
  We performed a retrospective study including all pregnant women transplanted in our center after 1997. The following variables were analyzed. The type of nephropathy, patient age when dialysis began, patient age at trans-plantation, the time between dialysis and transplantation and the time between transplantation and childbirth. Immunosuppressive therapy, type of delivery, baby's weight and Apgar score were also considered.
  
  
  RESULTS
  We followed four pregnancies in three patients who were, respectively, diagnosed with chronic pyelonephritis, post-partum cortical necrosis and immunoglobulin A (IgA) glomerulonephritis (GN). We observed complications in three cases and two pre-term births. In one case, the baby's weight at birth was lower when compared to the gestation age. We did not observe any significant disease in the baby's follow-up.
  
  
  CONCLUSIONS
  We concluded that our data were in agreement with those in the literature confirming that pregnancy after kidney transplant, although possible, carries an elevated risk; and therefore, patients have to be referred to highly specialized centers.
authors.affiliation: U.O. Nefrologia, Dialisi, Trapianto, Ospedale San Bortolo, Vicenza - Italy. pdlpe@libero.it
authors.forename: P
authors.initials: P
authors.lastname: Di Loreto
authors.forename: S
authors.initials: S
authors.lastname: Chiaramonte
authors.forename: D
authors.initials: D
authors.lastname: Dissegna
authors.forename: O
authors.initials: O
authors.lastname: Banzato
authors.forename: D
authors.initials: D
authors.lastname: Zuccarotto
authors.forename: C
authors.initials: C
authors.lastname: Ronco
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007558:Italy; D016030:Kidney Transplantation / Q000009:adverse effects; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology* / Q000209:etiology; D012189:Retrospective Studies