Successful pregnancies post renal transplantation.
To evaluate the maternal and fetal outcomes in renal transplant female recipients who became pregnant from 1989 to 2005 in our center, we retrospectively studied 20 incident pregnancies in 12 renal transplant recipients; 5 (41.7 %) of them from living related, 4 (33.3%) from deceased, and 3 (25%) from living unrelated donors. The mean age at pregnancy was 30.5 +/- 4.5 years and mean interval from transplantation to pregnancy was 21 +/- 5.7 months with the interval was 132 micromol/L, and another with short interval from transplantation to pregnancy UTI (25%), preterm delivery respectively. Gestational age at delivery was 36.3 +/- 3.9 weeks, and mean fetal birth weight was 2349 +/- 574 gm. Apgar score was 9-10 in all of the 20 babies, and none revealed intrauterine growth retardation or congenital anomalies. We conclude that consecutive pregnancies demonstrate long-term maternal and fetal survival and function. The major risk factors are elevated starting serum creatinine, hypertension, and short time interval from transplantation to pregnancy.
Alfi
Adnan Yaseen
AY
Nephrology Department, King Abdul-Aziz Hospital and Oncology Center, Jeddah, Saudi Arabia. adnanalfi@yahoo.com.
Al-essawy
Mohamed Al-Amin
MA
Al-lakany
Mohamed
M
Somro
Abdulsalam
A
Khan
Farman
F
Ahmed
Shakeel
S
D000293:Adolescent; D000328:Adult; D001034:Apgar Score; D001724:Birth Weight; D005260:Female; D047109:Fetal Development / Q000502:physiology; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007236:Infant, Small for Gestational Age; D019102:Infant, Very Low Birth Weight; D016030:Kidney Transplantation / Q000502:physiology*; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology; D012189:Retrospective Studies; D055815:Young Adult