title: Reproduction and pregnancy in transplant recipients: current practices.
abstract: 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.
authors.affiliation: Scripps Clinic and The Scripps Research Institute, La Jolla, Calif, USA.
authors.forename: Dianne B
authors.initials: DB
authors.lastname: McKay
authors.forename: Patricia L
authors.initials: PL
authors.lastname: Adams
authors.forename: Ginny L
authors.initials: GL
authors.lastname: Bumgardner
authors.forename: Connie L
authors.initials: CL
authors.lastname: Davis
authors.forename: Richard N
authors.initials: RN
authors.lastname: Fine
authors.forename: Sheri M
authors.initials: SM
authors.lastname: Krams
authors.forename: Olivia M
authors.initials: OM
authors.lastname: Martinez
authors.forename: Barbara
authors.initials: B
authors.lastname: Murphy
authors.forename: Martha
authors.initials: M
authors.lastname: Pavlakis
authors.forename: Nina
authors.initials: N
authors.lastname: Tolkoff-Rubin
authors.forename: Michael S
authors.initials: MS
authors.lastname: Sherman
authors.forename: Michelle A
authors.initials: MA
authors.lastname: Josephson
mesh_terms: 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
chemical_list: D003276:Contraceptives, Oral; D007166:Immunosuppressive Agents