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Int J Gynaecol Obstet. 2007 Feb;96(2):76-9. Epub 2007 Jan 18.

Perinatal outcome following renal transplantation.

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  • 1Department of Obstetrics, National Institute of Perinatology, Mexico City, Mexico. cruzlemini@prodigy.net.mx <cruzlemini@prodigy.net.mx>

Abstract

OBJECTIVE:

To assess pregnancy outcomes in a population of renal transplant recipients in Mexico.

METHOD:

A total of 75 pregnancies in 60 patients managed at the National Institute of Perinatology, Mexico City, Mexico, were reviewed.

RESULT:

The mean age at conception was 26.97+/-5.42 years and the mean time from transplantation to pregnancy was 5.49+/-3.6 years. Prepregnancy renal function was determined by serum creatinine level (mean, 1.32+/-0.73 mg/dL). Prepregnancy hypertension was noted in 45.3% of the patients. Urinary tract infection was the most common complication, followed by pregnancy-induced hypertension. The pregnancy resulted in abortion in 11 patients and in live birth for the remaining 64 participants. The mean+/-SD gestational age at birth was 37.1+/-3 weeks, and intrauterine growth restriction was noted in 12 newborns. A serum creatinine level of 1.5 mg/dL or higher prior to pregnancy was associated with delivery before the 34th week and low birth weight.

CONCLUSION:

In this study, pregnancy ended in a live birth in 84% of women with a renal transplant.

[PubMed - indexed for MEDLINE]
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