Těhotenství a porod po kombinované transplantaci ledviny a pankreatu v České republice

Pregnancy and Labor after Combined Pancreas – Kidney Transplantation in Czech Republic

Objective:
To inform about the first own experiences and to present opinion on leading pregnancy and delivery after a combined pancreas and kidney transplantation.

Design:
Case report and review article.

Setting:
Department of Obstetric and Gynecology, 1^st Medical Faculty of the Charles University and General Faculty Hospital, Prague.

Results and conclusions:
Pregnancies and deliveries after the transplantation of solid organs are not common. Mostly there are experiences with women after kidney transplantation, smaller or no experiences are with women after transplantation of other solid organs. About 25 pancreas transplantation per year are performed in the Czech republic. Two women after the combined kidney and pancreas transplantation were the first in Czech republic to get pregnant spontaneously and delivered by using a chronic immunosupressive therapy (Prograf, Imuran, Prednison) in 2002 and 2003. These single pregnancies were led as a high-risk pregnancy in Regional Perinatology Center in collaboration with Transplant and Diabetic Center. Both pregnancies were termined from the obstetrical indication before the term by cesarean section. Both children were healthy. The pregnancy of both patients has not affected the function of the transplanted organs and development of both children has been normal.

Key words:
transplantation, kidney-pancreas, pregnancy, delivery