Pregnancy outcomes among female recipients after liver transplantation: further experience.


INTRODUCTION:Liver transplantations give female recipients an ability to carry pregnancies successfully. However, solid organ transplantations exacerbate the pregnancy including maternal and neonatal outcomes. The aim of our study was to evaluate and identify the obstetric outcomes in women with a prior liver transplantation. METHODS:We analyzed all pregnant woman who had undergone a prior liver transplantation and afterward delivered from 2001 to 2011. Complete data were assessed in 39 deliveries and 40 live births. Three women were pregnant twice after liver transplantation. RESULTS:The mean gestational age at birth measured 37.2±2.2 weeks. The most common obstetric complications were premature labor (12/39,30.8%), hypertension (10/39, 25.6%), and symptomatic urinary tract infections (7/39, 18%). Other complications were pregestational diabetes (n=1), cholestasis (n=3), and of severe anemia treated with blood transfusions (n=2). The mean time from organ transplantation to delivery was 67.6±47.2 months. Acute graft rejections occurred among pregnant women 7.7% (3/39) of studied. Only 8 (20.5%) deliveries were finished vaginally. Infants small for gestational age were diagnosed in 20% (8/40). One case displayed a congenital urinary tract malformation. None of the neonates died neonatally. CONCLUSIONS:Pregnancies are possible after liver transplantation and likely end with successful maternal and newborn outcomes. Some cases experience an increased risk of obstetric complications. Therefore, posttransplant pregnancies must be regularly monitored with a multidisciplinary approach.


Transplant Proc


Jabiry-Zieniewicz Z,Szpotanska-Sikorska M,Pietrzak B,Kociszewska-Najman B,Foroncewicz B,Mucha K,Zieniewicz K,Krawczyk M,Wielgos M




Has Abstract


2011-10-01 00:00:00














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    pub_type: 杂志文章,随机对照试验


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    更新日期:2016-04-01 00:00:00

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    pub_type: 杂志文章


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    pub_type: 杂志文章


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    pub_type: 杂志文章


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    journal_title:Transplantation proceedings

    pub_type: 杂志文章


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    journal_title:Transplantation proceedings

    pub_type: 杂志文章


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    更新日期:2012-09-01 00:00:00

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    journal_title:Transplantation proceedings

    pub_type: 杂志文章


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    更新日期:2010-11-01 00:00:00

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    journal_title:Transplantation proceedings

    pub_type: 杂志文章,多中心研究


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    journal_title:Transplantation proceedings

    pub_type: 杂志文章


    authors: Alba A,Uribe M,Hunter B,Monzón P,Ferrada C,Heine C,Auad H

    更新日期:2013-01-01 00:00:00