Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-23T02:07:04.831Z Has data issue: false hasContentIssue false

Chapter 46 - Pregnancy after Renal Transplantation

from Section 7 - Hepato-Renal and Gastrointestinal Conditions in Pregnancy

Published online by Cambridge University Press:  23 February 2023

By
Tiina Podymow ,
Amira El-Messidi  and
Michelle Hladunewich
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
Get access

Summary

A 38-year-old primigravida is a recipient of a renal transplant. She is referred by her primary care provider for consultation and prenatal care of a spontaneous pregnancy at 10 weeks’ gestation by dating sonogram. She takes prenatal vitamins and has no obstetric complaints.

Keywords

Renal transplantation, allograft, pregnancyComorbiditiesInvestigations, prenatalBacteriuriaPregnancy prognosticatorsPerinatal risks, complications, maternal-fetal morbidity, adverse outcomeImmunosuppressive treatment, pharmacology, mycophenolate mofetil, prednisoneMaternal corticosteroids, complicationsAntenatal managementAcute renal graft rejectionObstetric deliveryCesarean delivery, maternal corticosteroid stress dosesRenal donor, pregnancy
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 584 - 594
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Suggested Readings

Bramham, K. Pregnancy in renal transplant recipients and donors. Semin Nephrol. 2017;37(4):370–377.CrossRefGoogle ScholarPubMed
Chandra, A, Midtvedt, K, Åsberg, A, et al. Immunosuppression and reproductive health after kidney transplantation. Transplantation. 2019;103(11):e325–e333.CrossRefGoogle ScholarPubMed
Hladunewich, MA, Melamed, N, Bramham, K. Pregnancy across the spectrum of chronic kidney disease. Kidney Int. 2016;89(5):995–1007.Google Scholar
Hui, D, Hladunewich, MA. Chronic kidney disease and pregnancy. Obstet Gynecol. 2019;133(6):1182–1194.Google Scholar
McKay, DB, Josephson, MA, Armenti, VT, et al. Reproduction and transplantation: report on the AST Consensus Conference on Reproductive Issues and Transplantation. Am J Transplant. 2005;5(7):1592–1599.Google Scholar
Shah, S, Venkatesan, RL, Gupta, A, et al. Pregnancy outcomes in women with kidney transplant: Metaanalysis and systematic review. BMC Nephrol. 2019;20(1):24.CrossRefGoogle ScholarPubMed
Wiles, K, Chappell, L, Clark, K, et al. Clinical practice guideline on pregnancy and renal disease. BMC Nephrol. 2019;20(1):401.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×