Pregnancy outcomes in renal transplant recipients

Puthenveettil, Nitu; Mohan, Anish; Rahman, Sajan; Paul, Jerry

doi:10.4103/ija.ija_362_21

Cited by 2 publications

(1 citation statement)

References 10 publications

(13 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…В настоящее время беременность после ТП прочно вошла в реальную клиническую практику. После того как в 1958 году женщина с трансплантированной почкой впервые выносила беременность и родила здорового ребенка, описаны тысячи беременностей после ТП, результаты которых, несмотря на повышенный риск акушерских и перинатальных осложнений, в целом можно назвать благоприятными -частота рождения живых и жизнеспособных детей составляет более 70% даже с учетом потерь плодов в ранние сроки гестации [1,2]. В нашей стране также накоплен определенный опыт ведения беременности у женщин после ТП, в том числе после сочетанной трансплантации почки и поджелудочной железы [3][4][5][6].…”

Section: Introductionunclassified

IVF pregnancy after kidney transplantation: clinical case and literature review

Prokopenko

Guryeva

Petrukhin

et al. 2022

RJTAO

View full text Add to dashboard Cite

Kidney transplantation (KT), the optimal treatment for stage 5 chronic kidney disease (CKD), restores impaired fertility in most women of reproductive age. However, infertility occurs in some patients after successful KT. We present our own experience of overcoming secondary tubal infertility by in vitro fertilization (IVF). The patient was a 36-year-old with a transplanted kidney, who had lost two pregnancies in the past due to severe preeclampsia (PE). After the second attempt on cryo-thawed embryo transfer against the background of hormone replacement therapy, one embryo was transferred into the uterus, resulting in pregnancy. Gestational diabetes mellitus (GDM) was diagnosed in the first trimester, and a diet was prescribed. Immunosuppression with tacrolimus, azathioprine and methylprednisolone, prophylaxis of PE with low molecular weight heparin and antiplatelet drugs were administered during pregnancy. Elective cesarean section was performed at 37–38 weeks and a healthy boy was born, weighing 2760 g (25th percentile), 48 cm tall (36th percentile). A stay in the neonatal intensive care unit was not required. The baby is growing and developing normally, the mother’s renal graft function is satisfactory. So, IVF can be successfully used in post-KT patients with infertility issues, provided that the IVF program is carefully controlled, and the pregnancy is managed in a multidisciplinary manner.

show abstract

Section: Introductionunclassified