Reproduction and pregnancy in transplant recipients: current practices.
Many transplant physicians are faced with questions from their patients about the safety and long-term consequences of pregnancy following transplantation. To better understand how pregnancies are managed and to clarify the outcome of pregnancy after transplantation, a survey questionnaire was developed and mailed to all medical and surgical directors of transplant centers throughout the United States; responses were obtained from 59.1% of the transplant centers. Although many opinions were collected, most respondents conceded that their opinions were based on personal experience rather than evidence-based. The underutilization of existing information was revealing and highlighted a need for an evidence-based approach to care of the pregnant transplant recipient and her offspring. The survey results, reported in this article, led to formation of a consensus conference to determine the optimal approach to pregnant transplant recipients and to define what is currently known and unknown about reproduction and transplantation.
McKay
Dianne B
DB
Scripps Clinic and The Scripps Research Institute, La Jolla, Calif, USA.
Adams
Patricia L
PL
Bumgardner
Ginny L
GL
Davis
Connie L
CL
Fine
Richard N
RN
Krams
Sheri M
SM
Martinez
Olivia M
OM
Murphy
Barbara
B
Pavlakis
Martha
M
Tolkoff-Rubin
Nina
N
Sherman
Michael S
MS
Josephson
Michelle A
MA
D003276:Contraceptives, Oral; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage; D016377:Organ Transplantation; D010818:Practice Patterns, Physicians'; D011247:Pregnancy; D011295:Prenatal Care; D012098:Reproduction; D014481:United States
D003276:Contraceptives, Oral; D007166:Immunosuppressive Agents