Abstract
Background. In the last few years advances in surgical techniques and immunosuppression have improved not only survival, but also quality of life in organ transplanted patients. Hence, the number of women of child-bearing age who decide to have a child - which means resuming a normal life - has increased. This multicenter retrospective study describes pregnancies after kidney transplantation and is the first such survey in Italy. Methods. We analyzed the outcomes from 56 pregnancies in 42 kidney transplant recipients from data collected in questionnaires, hospital records, and phone interviews. All recipients were maintained on cyclosporine (CsA), azathioprine (AZA), corticosteroids or tacrolimus (FK506) before and during pregnancy. Results. The average time from transplantation to childbirth was 62 months (range 12 to 180). Complications arose during pregnancy in 16 out of 36 term pregnancies (44.4%). Four transplant rejections (11.8%) were documented, two of them irreversible. Thirty-six infants were born, and 20 abortions reported (35.7%). Of these 36 babies, 16 (44.4%) were born at term, and 20 (55.6%) before term. Thirty-three Cesarean sections were performed (91.7%). Among the 20 pre-term babies, 11 can be grouped as follows: 5 low-birth-weight (LBW) (13.9%), 4 very low-birth-weight (VLBW) (8.3%) and 2 extremely very low-birth-weight (EVLBW) (5.6%). The children were followed up for periods ranging from 2 months to 13 years. Conclusions. In kidney transplant recipients who became pregnant the incidence of spontaneous abortion and preterm delivery was increased. Newborns delivered to these patients had low birth weight, but no congenital defects were noted and their development was normal.
| Original language | English |
|---|---|
| Pages (from-to) | 626-632 |
| Number of pages | 7 |
| Journal | Journal of Nephrology |
| Volume | 15 |
| Issue number | 6 |
| Publication status | Published - Nov 2002 |
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Keywords
- Kidney transplant
- Newborn
- Pregnancy
ASJC Scopus subject areas
- Nephrology
Cite this
Pregnancy after renal transplantation in Italian patients : Focus on fetal outcome. / Miniero, Roberto; Tardivo, Irene; Curtoni, Emilio Sergio; Segoloni, Giuseppe Paolo; La Rocca, Ennio; Nino, Antonio; Todeschini, Paola; Tregnaghi, Carla; Rosati, Alberto; Zanelli, Paola; Dall'Omo, Anna Maria.
In: Journal of Nephrology, Vol. 15, No. 6, 11.2002, p. 626-632.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Pregnancy after renal transplantation in Italian patients
T2 - Focus on fetal outcome
AU - Miniero, Roberto
AU - Tardivo, Irene
AU - Curtoni, Emilio Sergio
AU - Segoloni, Giuseppe Paolo
AU - La Rocca, Ennio
AU - Nino, Antonio
AU - Todeschini, Paola
AU - Tregnaghi, Carla
AU - Rosati, Alberto
AU - Zanelli, Paola
AU - Dall'Omo, Anna Maria
PY - 2002/11
Y1 - 2002/11
N2 - Background. In the last few years advances in surgical techniques and immunosuppression have improved not only survival, but also quality of life in organ transplanted patients. Hence, the number of women of child-bearing age who decide to have a child - which means resuming a normal life - has increased. This multicenter retrospective study describes pregnancies after kidney transplantation and is the first such survey in Italy. Methods. We analyzed the outcomes from 56 pregnancies in 42 kidney transplant recipients from data collected in questionnaires, hospital records, and phone interviews. All recipients were maintained on cyclosporine (CsA), azathioprine (AZA), corticosteroids or tacrolimus (FK506) before and during pregnancy. Results. The average time from transplantation to childbirth was 62 months (range 12 to 180). Complications arose during pregnancy in 16 out of 36 term pregnancies (44.4%). Four transplant rejections (11.8%) were documented, two of them irreversible. Thirty-six infants were born, and 20 abortions reported (35.7%). Of these 36 babies, 16 (44.4%) were born at term, and 20 (55.6%) before term. Thirty-three Cesarean sections were performed (91.7%). Among the 20 pre-term babies, 11 can be grouped as follows: 5 low-birth-weight (LBW) (13.9%), 4 very low-birth-weight (VLBW) (8.3%) and 2 extremely very low-birth-weight (EVLBW) (5.6%). The children were followed up for periods ranging from 2 months to 13 years. Conclusions. In kidney transplant recipients who became pregnant the incidence of spontaneous abortion and preterm delivery was increased. Newborns delivered to these patients had low birth weight, but no congenital defects were noted and their development was normal.
AB - Background. In the last few years advances in surgical techniques and immunosuppression have improved not only survival, but also quality of life in organ transplanted patients. Hence, the number of women of child-bearing age who decide to have a child - which means resuming a normal life - has increased. This multicenter retrospective study describes pregnancies after kidney transplantation and is the first such survey in Italy. Methods. We analyzed the outcomes from 56 pregnancies in 42 kidney transplant recipients from data collected in questionnaires, hospital records, and phone interviews. All recipients were maintained on cyclosporine (CsA), azathioprine (AZA), corticosteroids or tacrolimus (FK506) before and during pregnancy. Results. The average time from transplantation to childbirth was 62 months (range 12 to 180). Complications arose during pregnancy in 16 out of 36 term pregnancies (44.4%). Four transplant rejections (11.8%) were documented, two of them irreversible. Thirty-six infants were born, and 20 abortions reported (35.7%). Of these 36 babies, 16 (44.4%) were born at term, and 20 (55.6%) before term. Thirty-three Cesarean sections were performed (91.7%). Among the 20 pre-term babies, 11 can be grouped as follows: 5 low-birth-weight (LBW) (13.9%), 4 very low-birth-weight (VLBW) (8.3%) and 2 extremely very low-birth-weight (EVLBW) (5.6%). The children were followed up for periods ranging from 2 months to 13 years. Conclusions. In kidney transplant recipients who became pregnant the incidence of spontaneous abortion and preterm delivery was increased. Newborns delivered to these patients had low birth weight, but no congenital defects were noted and their development was normal.
KW - Kidney transplant
KW - Newborn
KW - Pregnancy
UR - http://www.scopus.com/inward/record.url?scp=0036868248&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036868248&partnerID=8YFLogxK
M3 - Article
C2 - 12495275
AN - SCOPUS:0036868248
VL - 15
SP - 626
EP - 632
JO - Journal of Nephrology
JF - Journal of Nephrology
SN - 1121-8428
IS - 6
ER -