title: Unwanted pregnancy among Chinese renal transplant recipients.
abstract: OBJECTIVE
  To investigate the occurrence of unwanted pregnancies among renal transplant recipients and to identify major contributing factors.
  
  
  METHODS
  A total of 647 women of childbearing age who had received a renal transplant at one of the five participating hospitals in China were enrolled in the study and administered a questionnaire that collected information on their reproductive health, pregnancies, and awareness and use of contraceptive methods.
  
  
  RESULTS
  Of the 647 eligible patients, 98 (15%) reported 133 unwanted pregnancies post-transplantation. In this group (n = 98), despite an awareness of the available contraceptive measures, 56% had not applied any method of contraception, while 20% had relied on the rhythm method, and in only 12% of the cases male condoms had been used. The most common reason for not using contraception was a failure to realise that their reproductive function had been restored to normal soon after transplantation (19%). CONCLUSION In female renal transplant recipients, unprotected sex combined with incorrect judgment about their own reproductive potential post-transplantation were the major causes of unwanted pregnancies. The latter could be avoided through counselling about the risk pregnancy entails and the implementation of appropriate contraceptive measures.
authors.affiliation: Kidney Transplant Centre, Hangzhou Jiulisong Hospital, Hangzhou. xulonggen88@sina.com
authors.forename: Longgen
authors.initials: L
authors.lastname: Xu
authors.forename: Yirong
authors.initials: Y
authors.lastname: Yang
authors.forename: Jian Guo
authors.initials: JG
authors.lastname: Shi
authors.forename: Hongwei
authors.initials: H
authors.lastname: Wang
authors.forename: Feng
authors.initials: F
authors.lastname: Qiu
authors.forename: Wanling
authors.initials: W
authors.lastname: Peng
authors.forename: Jing
authors.initials: J
authors.lastname: Fu
authors.forename: Xiaofeng
authors.initials: X
authors.lastname: Zhu
authors.forename: Youhua
authors.initials: Y
authors.lastname: Zhu
mesh_terms: D000028:Abortion, Induced; D000328:Adult; D002681:China; D017280:Condoms; D003376:Counseling; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016030:Kidney Transplantation; D016015:Logistic Models; D012252:Natural Family Planning Methods; D010353:Patient Education as Topic; D011247:Pregnancy; D011275:Pregnancy, Unwanted; D012098:Reproduction / Q000502:physiology; D011795:Surveys and Questionnaires; D047568:Unsafe Sex / Q000517:prevention & control; D055815:Young Adult