PREGNANCY OUTCOME AFTER RELATED KIDNEY TRANSPLANTATION (CLINICAL CASE)
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Abstract
Women of childbearing age with end-stage renal disease have fertility rates that are almost 10 times lower than healthy women. Kidney transplantation significantly improves reproductive function in such patients, increasing their fertility by about four times compared to dialysis. Fertility is restored within a few months after transplantation, and safe conception can probably be achieved as early as one year after transplantation. Preconception counseling, family planning, and contraception are an integral part of the care of women planning pregnancy after kidney transplantation.
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Lentine KL, Mandelbrot D. Addressing dis- parities in living donor kidney transplantation: a call to action. Clin J Am Soc Nephrol. 2018; 13(12): 1909-1911. doi: 10.2215/CJN.06250518
Simforoosh N, Shemshaki H, Nadjafi- Semnani M, Sotoudeh M. Living related and living unrelated kidney transplantations: a systematic review and meta-analysis. World J Transplant. 2017; 7(2): 152-160. doi: 10.5500/wjt.v7.i2.152
Husain SA, King KL, Sanichar N, Crew RJ, Schold JD, Mohan S. Association between donor-recipient biological relationship and allo- graft outcomes after living donor kidney trans- plant. JAMA Netw Open. 2021; 4(4): e215718. doi: 10.1001/jamanetworkopen.2021.5718
Society for Maternal-Fetal Medicine (SMFM); Irani RA, Coscia LA, Chang E, Lappen JR; SMFM Publications Committee. Society for Maternal-Fetal Medicine Consult Series #66: prepregnancy evaluation and pregnancy man- agement of patients with solid organ transplants. Am J Obstet Gynecol. 2023; 229(2): B10-B32. doi: 10.1016/j.ajog.2023.04.022
Thomas E, Milton J, Cigarroa FG. The advancing American kidney health executive order: an opportunity to enhance organ donation. JAMA. 2019; 322(17): 1645-1646. doi: 10.1001/jama.2019.14500
Chauhan SP, Rice MM, Grobman WA, Bailit J, Reddy UM, Wapner RJ, et al. Neonatal and maternal composite adverse outcomes among low-risk nulliparous women compared with multiparous women at 39-41 weeks of gestation. Obstet Gynecol. 2020; 136(3): 450-457. doi: 10.1097/AOG.0000000000003951
van Buren MC, Schellekens A, Groenhof TKJ, van Reekum F, van de Wetering J, Paauw ND, Lely AT. Long-term graft survival and graft function following pregnancy in kidney transplant recipients: a systematic review and meta-analysis. Transplantation. 2020; 104(8): 1675-1685. doi: 10.1097/TP.0000000000003026
Poggio ED, Augustine JJ, Arrigain S, Brennan DC, Schold JD. Long-term kidney transplant graft survival-making progress when most needed. Am J Transplant. 2021; 21(8): 2824-2832. doi: 10.1111/ajt.16463
Yin O, Kallapur A, Coscia L, Constantinescu S, Moritz M, Afshar Y. Differentiating acute rejection from preeclampsia after kidney transplantation. Obstet Gynecol. 2021; 137(6): 1023-1031. doi: 10.1097/AOG.0000000000004389
Kallapur A, Jang C, Yin O, Mei JY, Afshar Y. Pregnancy care in solid organ transplant recipients. Int J Gynaecol Obstet. 2022; 157(3): 502-513. doi: 10.1002/ijgo.13819
Yin O, Kallapur A, Coscia L, Kwan L, Tandel M, Constantinescu SA, et al. Mode of obstetric delivery in kidney and liver transplant recipients and associated maternal, neonatal, and graft morbidity during 5 decades of clinical practice. JAMA Netw Open. 2021; 4(10): e2127378. doi: 10.1001/jamanetworkopen.2021.27378