PREGNANCY AND DELIVERY IN A PATIENT AFTER KIDNEY AND RIGHT LIVER TRANSPLANTATION (CLINICAL CASE)

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CASE HISTORY
Published:
2026-03-02

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Nonna Markovna Shibelgut
Kuzbass Regional Clinical Hospital named after S.V. Belyaev, 650066, Kemerovo, Oktyabrsky Prospekt, 22
Lyudmila Georgievna Cherdantseva
ГАУЗ КОКБ им. С.В. Беляева, 650066, г. Кемерово, Октябрьский пр-кт, д. 22
Svetlana Ivanovna Elgina
Kemerovo State Medical University, 650056, Kemerovo, Voroshilova St., 22a
Elena Vladimirovna Rudaeva
Kemerovo State Medical University, 650056, Kemerovo, Voroshilova St., 22a
Kira Borisovna Moses
Kemerovo State Medical University, 650056, Kemerovo, Voroshilova St., 22a
Vadim Gelievich Moses
Kemerovo State University, 650000, Kemerovo, Krasnaya Street, 6

Abstract

Pregnancy after a kidney transplant is no longer a rarity, and there is a significant amount of data supporting its feasibility with stable allograft function. Similarly, successful pregnancies have been reported after isolated liver transplantation. However, pregnancy in a patient with two transplanted organs (a kidney and a liver) presents an exceptionally challenging clinical scenario. The combination of two allografts multiplies the complex of potential risks associated with both changes in the pharmacokinetics of immunosuppressants, hemodynamic shifts, hypercoagulation, and the risk of mutual influence of complications from each of the organs.
This report presents a clinical case of successful management of pregnancy and delivery in a patient after combined kidney and liver transplantation, with a detailed description of pre-gravidary preparation, the course of gestation, the tactics of immunosuppressive therapy, monitoring methods, and the outcome for the mother and the newborn. The purpose of this description is to summarize practical experience and highlight the key principles of managing such a complex multidisciplinary pathology.

Keywords

kidney and liver transplantation, pregnancy, childbirth, the postpartum period

Author Biographies

Nonna Markovna Shibelgut,

candidate of medical sciences, deputy chief physician for obstetric and gynecological care

Lyudmila Georgievna Cherdantseva,

head of the women's consultative and diagnostic clinic

Svetlana Ivanovna Elgina,

doctor of medical sciences, docent, professor of the department of obstetrics and gynecology named after G.A. Ushakova

Elena Vladimirovna Rudaeva,

candidate of medical sciences, docent, docent of the department of obstetrics and gynecology named after G.A. Ushakova

Kira Borisovna Moses,

assistant of the department of polyclinic therapy and nursing

Vadim Gelievich Moses,

Kemerovo State University, 650000, Kemerovo, Krasnaya Street, 6

Article Details

Information about financing and conflict of interests

The study had no sponsorship.
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
© Nonna Markovna Shibelgut, Lyudmila Georgievna Cherdantseva, Svetlana Ivanovna Elgina, Elena Vladimirovna Rudaeva, Kira Borisovna Moses, Vadim Gelievich Moses, 2026


Creative Commons License  This work is licensed under a Creative Commons Attribution 4.0 License.

How to Cite

Shibelgut, N. M., Cherdantseva, L. G., Elgina, S. I., Rudaeva, E. V., Moses, K. B., & Moses, V. G. (2026). PREGNANCY AND DELIVERY IN A PATIENT AFTER KIDNEY AND RIGHT LIVER TRANSPLANTATION (CLINICAL CASE). Mother and Baby in Kuzbass, 27(1). https://mednauki.ru/index.php/MD/article/view/1409

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