title: [Twin pregnancy after renal transplantation: first case reported in Tunisia].
abstract: Women with end-stage renal disease or on regular dialysis have low fertility. Renal transplantation restores not only normal renal and endocrine functions but also the reproductive function as well and this conception becomes possible. Pregnancy in transplanted women is at higher risk and necessitates a multidisciplinary follow up. We report the course and out come of two successful pregnancies, the second was the first case of twin pregnancy in Tunisia in a transplanted woman. Our patient is 35 years old had a chronic renal insufficiency, secondary to interstitial nephropathy. After six years of hemodialysis, she had received a renal graft from a living donor (his brother). A double drug immunosuppression was given (Prednisolone - Azathioprine). Two years later, she became pregnant and delivered a normal baby at term, and one year later she had a twin pregnancy that ended successfully and delivered by caesarian section a two babies with different sex. Pregnancy after renal transplantion must be considered as a risk factor for any subsquent pregnancy, and the risk nicreases in case of twin pregnancy.
authors.affiliation: Service de Nephrologie, CHU Fattouma Bourguiba Monastir.
authors.forename: Habib
authors.initials: H
authors.lastname: Skhiri
authors.forename: Yousr
authors.initials: Y
authors.lastname: Guedri
authors.forename: Abdellatif
authors.initials: A
authors.lastname: Achour
authors.forename: Aloui
authors.initials: A
authors.lastname: Sabra
authors.forename: Youssef Dorsaf
authors.initials: YD
authors.lastname: Hadj
authors.forename: Samia
authors.initials: S
authors.lastname: Bouraoui
authors.forename: Ameur
authors.initials: A
authors.lastname: Frih
authors.forename: Nasr
authors.initials: N
authors.lastname: Ben Dhia
authors.forename: Mohamed
authors.initials: M
authors.lastname: Sakkouhi
authors.forename: Mourad
authors.initials: M
authors.lastname: Gahbiche
authors.forename: Hamadi
authors.initials: H
authors.lastname: Saad
authors.forename: Mezni
authors.initials: M
authors.lastname: El May
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007247:Infertility, Female; D007676:Kidney Failure, Chronic / Q000628:therapy*; D016030:Kidney Transplantation; D011247:Pregnancy; D011256:Pregnancy Outcome; D012307:Risk Factors; D014416:Tunisia; D014427:Twins
chemical_list: D007166:Immunosuppressive Agents