Reproductive life planning in women after kidney or liver transplantation

Szpotanska‐Sikorska, Monika; Mazanowska, Natalia; Madej, Anna; Kociszewska-Najman, Bozena; Wielgoś, Mirosław; Pietrzak, Bronisława

doi:10.1111/ctr.13378

Cited by 10 publications

(7 citation statements)

References 15 publications

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“…While end‐organ failure is often accompanied by a loss of menstrual cycles, ovulation and menses can return as early as the first month after transplantation 2,3 . Many women desire children after transplantation and previous studies suggest that their rate of interest is similar to the general population 4 ; for many women the prospect of having children after transplant is an important priority 5 . Single center and voluntary registry data 6–10 suggest pregnancy after SOT is largely successful but is associated with maternal and fetal risks including pre‐eclampsia, intrauterine growth restriction and prematurity 6–10 .…”

Section: Introductionmentioning

confidence: 99%

A survey of solid organ transplant recipient attitudes and concerns regarding contraception and pregnancy

McIntosh

Puerzer

et al. 2023

Clinical Transplantation

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Introduction: Many women who are solid organ transplant (SOT) recipients wish to have children after transplantation. Contraception is an important component of post-transplant planning and care, given the increased risk associated with posttransplant pregnancies. We sought to understand patient attitudes and concerns about post-transplant contraception and pregnancy.Methods: Following a comprehensive literature review, our team developed a survey that was administered to female SOT recipients of childbearing age. We used descriptive and inferential statistics to characterize participant views Results: A total of 243 transplant recipients completed the survey (80.7% response rate). The mean age of respondents was 37.5 years (±8.1 years), 66.7% were kidney recipients, and 40.7% were within the first year after transplant. The most common concerns among respondents included fetal and maternal health complications. Participants generally did not agree that transplant recipients should be advised to avoid pregnancy. There was strong support for shared decision-making about pregnancy after transplantation Conclusion: Understanding patient perspectives can help transplant providers make better care recommendations and support patient autonomy in reproductive decisions post-transplant. Given that there are some differences in views by transplant type, individualized conversations between patients and providers are needed.

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Section: Introductionmentioning

confidence: 99%

A survey of solid organ transplant recipient attitudes and concerns regarding contraception and pregnancy

McIntosh

Puerzer

et al. 2023

Clinical Transplantation

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“…3 Maternal complications can include hypertension and increased risk of pre-eclampsia. 5 Preconceptional international guidelines recommend that women after KT should have (1) stable kidney function, (2) no active infections, (3) are not taking teratogenic medications, and (4) immunosuppressive medications (IM) are at maintenance levels. 6,7 Although evidence suggests that pregnancy does not decrease graft survival, 8 mothers can be faced with dialysis or re-transplantation and their families can be faced with the loss of a parent/partner.…”

Section: Introductionmentioning

confidence: 99%

“…One of the benefits of kidney transplantation (KT) is the potential recovery of fertility. Women after KT have the same desire to become mothers as those in the general population 1,2 . Successful pregnancy after KT is possible but there is an increased risk of complications for mother and child 3,4 .…”

Section: Introductionmentioning

confidence: 99%

“…Women after KT have the same desire to become mothers as those in the general population. 1 , 2 Successful pregnancy after KT is possible but there is an increased risk of complications for mother and child. 3 , 4 Pregnancies after KT compared to the general population are associated with higher rates of preterm deliveries, growth retardation and low birth weight.…”

Section: Introductionmentioning

confidence: 99%

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EXPloring attitudes and factors influencing reproductive Choices in kidney Transplant patients (The EXPECT‐study)

Buren

Beck

Lely

et al. 2021

Clinical Transplantation

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Pregnancy can have risks after kidney transplantation (KT). This mixed‐methods study aimed to identify the percentage of women getting pregnant after KT and explore motives for and against pregnancy together with psychosocial and medical factors involved in decision making. Furthermore, experiences of pregnancy and child‐raising were explored. Women who got pregnant after KT were matched with women who had not been pregnant after KT. Semi‐structured interviews were conducted, transcribed verbatim and analyzed using directed content analysis. After KT, only 12% of women got pregnant. Eight women with pregnancies after KT were included (P‐group) and matched with 12 women who had not been pregnant after KT (NP‐group). Women after KT experienced a high threshold to discuss their pregnancy wish with their nephrologist. The nephrologists’ advice played an important role in decision‐making, but differed between the groups. In the P‐group, a desire for autonomy and positive role models were decisive factors in proceeding with their pregnancy wish. In the NP‐group, disease burden and risk perception were decisive factors in not proceeding with their pregnancy. Nephrologists need to be proactive in broaching this subject and aware of factors influencing the decision and outcomes. Standardized preconception guidelines on pregnancy counseling are recommended.

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“…Dynamic technological changes and development of new, innovative diagnostic methods are discernable in every medical branch, especially in genetics and transplantology [ 1 , 2 ]. Contemporary society has also gained broad access to a variety of medical information through the internet.…”

Section: Introductionmentioning

confidence: 99%

Changes in Knowledge about Umbilical Cord Blood Banking and Genetic Tests among Pregnant Women from Polish Urban and Rural Areas between 2010–2012 and 2017

Szubert

Ilowiecka

Wilczyński

et al. 2020

IJERPH

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The aim of this study was to evaluate knowledge of umbilical cord blood (UBC) banking and prenatal genetic diagnosis among pregnant women from rural and urban areas, and how this knowledge changed within a five-year period. A survey by questionnaire was conducted between 2010 and 2012, and in 2017 in public hospitals; the study population comprised 6128 women, with 2797 patients from the years 2010–2012 and 3331 from the year 2017. 41% of the studied population declared that they were living in rural areas. In the 2010–2012 period, fewer women from rural areas knew about UBC banking. In 2017 that same relative difference in knowledge persisted, but the percentage of women who now knew about this procedure rose significantly in both studied groups. Prenatal diagnosis was more familiar for urban inhabitants both in 2010 and 2017 but as with the UBC data, a trend of growing awareness was also seen in pregnant women from rural areas. Knowledge of new techniques such as UBC banking and genetic tests has grown among pregnant women during the time frame of our study, but there is still a need to emphasize the benefits of these two possibilities to pregnant women, especially among rural inhabitants.

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Reproductive life planning in women after kidney or liver transplantation

Cited by 10 publications

References 15 publications

A survey of solid organ transplant recipient attitudes and concerns regarding contraception and pregnancy

A survey of solid organ transplant recipient attitudes and concerns regarding contraception and pregnancy

EXPloring attitudes and factors influencing reproductive Choices in kidney Transplant patients (The EXPECT‐study)

Changes in Knowledge about Umbilical Cord Blood Banking and Genetic Tests among Pregnant Women from Polish Urban and Rural Areas between 2010–2012 and 2017

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