Pregnancy in women with solid-organ transplants
Authors:
M. Nováčková 1,2; Z. Pastor 1
; J. Matěcha 1
; M. Čekal 1
; J. Froněk 1; R. Chmel 1,2
Authors‘ workplace:
Gynekologicko-porodnická klinika 2. LF UK a FN Motol, Praha, přednosta doc. MUDr. L. Rob, CSc.
1; Klinika transplantační chirurgie IKEM, Praha, přednosta doc. MUDr. J. Froněk, Ph. D., FRCS, MHA
2
Published in:
Ceska Gynekol 2018; 83(1): 62-68
Overview
Objective:
Evaluation of pregnancies and deliveries in women after solid organ transplantations with respect to the maternal and fetal risks.
Design:
Overview article.
Setting:
Department of Obstetrics and Gynaecology, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague.
Methods:
Literature search using the Web of Science, Ovid, Cochrane, Google Scholar and Medline databases with keywords (transplantation, pregnancy, immunosuppression) and analysis of articles published in impact and reviewed journals from 1958 to 2017.
Results:
Pregnancy in patients after solid organ transplantions is associated with the higher risk of complications, particularly preeclampsia, and high incidence of comorbidities. Women after transplantation have an increased risk of premature deliveries and low birth weight newborns. The highest risk of complications is documented after lung transplantation. For immunosuppression in pregnancy inhibitors of calcineurin, azathioprine and prednisone are used.
Conclusion:
Pregnancies and deliveries in women after solid organ transplants are in a high risk. With early transplantation, adequate patient health compensation, properly planned pregnancy, adequate immunosuppressive therapy and specialized prenatal and obstetric care, women can give birth to healthy newborns after transplantation.
Keywords:
pregnancy, delivery, transplantation, immunosuppression
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Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineArticle was published in
Czech Gynaecology
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