title: Perinatal complications in women with kidney transplant.
abstract: BACKGROUND
  Pregnancy in patients with kidney grafts is considered high-risk.
  
  
  OBJECTIVE
  Determine perinatal complications in women with kidney transplants treated by our hospital and compare them with complications reported in national and international literature.
  
  
  METHODS
  We studied perinatal complications in 18 patients with renal transplantation who delivered 19 newborns and were treated between 1 January 2009 and 31 December 2010. Results were compared with previous reports.
  
  
  RESULTS
  Maternal age: 28.27 ± 4.70 years old, parity: 2, interval from transplant to conception: 7.52 ± 6.20 years, first prenatal visit 14.35 ± 6.74 weeks, prenatal care: 18.88 ± 9.18 weeks, 6 prenatal visits, gestational age at birth: 33.11 ± 8.72 weeks. Maternal complications: cesarean section: 88.88%, blood transfusion: 38.88%, anaemia: 33.33%, premature rupture of membranes: 22.22%, preterm delivery: 22.22%, urinary tract infection: 16.66%, preeclampsia: 11.11%, uncontrolled hypertension: 11.11%, miscarriage: 11.11%, uterine antony: 5.55%, gestational diabetes: 0%, and mortality: 0%. Foetal complications: premature birth: 52.63%, mortality: 21.05%, intensive care: 21.05%, and low birth weight due to growth restriction: 10.52%. Transplantation complications: filtration impairment without need for dialysis: 5.55%, graft rejection: 0%, and graft loss: 0%.
  
  
  CONCLUSIONS
  The frequency of perinatal complications was high. Pregnancy had no adverse effect on renal function and patient survival. Stable renal grafts in women of childbearing age is not necessarily a contraindication for pregnancy.
authors.affiliation: Unidad de Cuidados Intensivos, Hospital de Ginecología y Obstetricia N º 3, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social, Ciudad de México, México. juangustavovazquez@hotmail.com
authors.forename: Juan G
authors.initials: JG
authors.lastname: Vázquez-Rodríguez
authors.forename: Ana L
authors.initials: AL
authors.lastname: Ríos-Chavarría
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D055815:Young Adult