Pregnancy management of women with kidney transplantation

Abstract: Women with renal disease, besides many dysfunctions, face increasing infertility and high-risk pregnancy due to uremia and changesof the hormonal functions. After renal transplantation, sexual dysfunction improves, providing the possibility of successful pregnancy forwomen of childbearing age. However, kidney transplanted patients are high-risk pregnant patients with increased maternal and fetal risks,and the graft also may be compromised during pregnancy; most studies report on several successive deliveries due to multidisciplinary teammanagement. In clinical practice, the graft is rarely aff ected during the period of gestation. Fetal development disorders are also rare althoughpreterm delivery and intrauterine growth retardation are common. For now, several studies and clinical investigations proved that, undermultidisciplinary control, kidney transplanted female patients are also possible to have safe pregnancy and successful delivery. There areconfl icting data in the literature about the prevention of complications and the timing of pregnancy. Herein, we would like to present someexperience of our centre. A total of 847 kidney transplantations have been performed between June 1993 and December 2013 with 163childbearing aged females (18–45 years) in our center. We report on three kidney transplanted patients who have given birth to healthynewborns. In our practice, severe complications have not been observed