title: Unwanted pregnancy among kidney transplant recipients in Iran.
abstract: To investigate the incidence of unwanted pregnancy among kidney transplant recipients, we studied 86 pregnancies in 64 women with a transplanted kidney. Twenty-five pregnancies were unwanted (29.1%). Pregnancy was terminated by induced abortion in seven patients, and four pregnancies were lost due to spontaneous abortion with one intrauterine fetal death. Only 13 (52%) pregnancies resulted in a live birth. Most of the unwanted pregnancies occurred in women using coitus interruptus (92%) as the only method of contraception. It is concluded that because fertility greatly improves after kidney transplantation, it is necessary to have a family planning counseling session before surgery. If a patient is not interested in future pregnancy, an effective method of contraception should be offered. A woman who has decided against childbearing in the future may decide to have a tubal ligation at the time of transplantation surgery.
authors.affiliation: Medical Sciences, Tehran, Iran. shirin_ghazizadeh@yahoo.com
authors.forename: S
authors.initials: S
authors.lastname: Ghazizadeh
authors.forename: M
authors.initials: M
authors.lastname: Lessan-Pezeshki
authors.forename: M
authors.initials: M
authors.lastname: Khatami
authors.forename: M
authors.initials: M
authors.lastname: Mahdavi
authors.forename: E
authors.initials: E
authors.lastname: Razeghi
authors.forename: S
authors.initials: S
authors.lastname: Seifi
authors.forename: F
authors.initials: F
authors.lastname: Ahmadi
authors.forename: S
authors.initials: S
authors.lastname: Maziar
authors.forename: J
authors.initials: J
authors.lastname: Azmandian
authors.forename: M
authors.initials: M
authors.lastname: Abbasi
mesh_terms: D000028:Abortion, Induced; D000293:Adolescent; D000328:Adult; D003076:Coitus Interruptus; D005260:Female; D005313:Fetal Death; D006801:Humans; D007492:Iran; D016030:Kidney Transplantation / Q000502:physiology*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011275:Pregnancy, Unwanted