[Pregnancy after kidney transplantation. Case load of the Transplantation Center of Vicenza].
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.
Di Loreto
P
P
U.O. Nefrologia, Dialisi, Trapianto, Ospedale San Bortolo, Vicenza - Italy. pdlpe@libero.it
Chiaramonte
S
S
Dissegna
D
D
Banzato
O
O
Zuccarotto
D
D
Ronco
C
C
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