title: PP146. Psychological assessment of renal transplant recipients during pregnancy.
abstract: BACKGROUND
  Although many centers have reported their experience on maternal and perinatal outcomes in renal transplant recipients. Very few information can be found about the psychological aspects that may rise for these patients during pregnancy. Considering the importance of the psychological concerns for this kind of patients, we have developed a protocol to better assist renal transplant recipients during pregnancy and here we show what we have learnt.
  
  
  OBJECTIVE
  To understand how the maternal concerns are seen from renal transplant recipients in terms of psychological aspects.
  
  
  METHODS
  Fifteen pregnant kidney transplanted women with an average age of 27.5years were included in the study. All patients have been investigated beyond the 20th week of pregnancy to delivery. The study is cross-sectional, qualitative, and participation is based on developed phenomenological method. Final data analysis will be done through thematic analysis and hermeneutics of meaning. The only exclusion criteria were the current presence of psychiatric disorders or use of drugs that could influence cognitive and emotional aspects during the psychological evaluation.
  
  
  RESULTS
  During the last two years we have observed in these women that all of them are aware of the risks of pregnancy after transplantation. Qualitative aspects were: Pregnant with kidney transplantation show: in relation to pregnancy, the desire to be mothers, to give a son to her husband, to become a healthy person again; they believe that conception is God's will, they have fear of pregnancy, ambivalence of feelings (fear and happiness). In relation to the graft, they reported fear of baby malformations, fear and anguish of graft loss, still consider it worth the risk of having the baby, and some women name the graft, if it were another infant. In relation to delivery, state anxiety and anguish at the proximity of labor (fear of labor pain, anesthesia, cesarean section, vaginal delivery and the "psychic pain").
  
  
  CONCLUSIONS
  Pending the final results of this study, we still observed that these patients and their husbands require multidisciplinary monitoring since the beginning of pregnancy. Factors religious, cultural and psychic are involved in the desire to be mothers.
authors.affiliation: Obstetrics Department, Federal University of São Paulo, São Paulo, Brazil.
authors.forename: V L L Belardi
authors.initials: VL
authors.lastname: Neto
authors.affiliation: Obstetrics Department, Federal University of São Paulo, São Paulo, Brazil.
authors.forename: L G
authors.initials: LG
authors.lastname: de Oliveira
authors.affiliation: Obstetrics Department, Federal University of São Paulo, São Paulo, Brazil.
authors.forename: N
authors.initials: N
authors.lastname: Sass