Reproductive health in Irish female renal transplant recipients.

Hdl Handle:
http://hdl.handle.net/10147/207304
Title:
Reproductive health in Irish female renal transplant recipients.
Authors:
Kennedy, C; Hussein, W; Spencer, S; Walshe, J; Denton, M; Conlon, P J; Magee, C
Affiliation:
Department of Nephrology, Beaumont Hospital, Dublin 9, Ireland,, kennedyclaire@gmail.com.
Citation:
Ir J Med Sci. 2012 Mar;181(1):59-63. Epub 2011 Oct 28.
Journal:
Irish journal of medical science
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207304
DOI:
10.1007/s11845-011-0767-4
PubMed ID:
22033814
Abstract:
OBJECTIVE: To report the pregnancy outcomes in Irish female renal transplant recipients on modern maintenance immunosuppression. METHODS: The Republic of Ireland transplant database was accessed to identify the patient cohort in question. All female renal transplant recipients whose transplantation was in Ireland before or during their reproductive years were included. A questionnaire was sent to the identified women. A chart review was performed for those women who reported a pregnancy following renal transplantation. RESULTS: Two hundred and ten women met the inclusion criteria. There was a response rate of 70% (n = 148). Eighteen women reported 29 pregnancies. The live birth rate was 76%. The mean gestation of the live births was 36.2 weeks with a mean birth weight of 3.0 kg. There were six cases of pre-eclampsia. Twin pregnancies and those entering pregnancy with a creatinine greater than 135 micromol/l had particularly complicated clinical courses. Four women had not conceived post transplant despite actively trying for over 1 year. Two women utilised assisted fertility methods (in vitro fertilisation), one of whom became pregnant. CONCLUSIONS: A significant proportion of women who attempt to conceive following renal transplantation are successful, without the use of assisted fertility. Pregnancy in this setting warrants meticulous multidisciplinary care.
Language:
eng
ISSN:
1863-4362 (Electronic); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorKennedy, Cen_GB
dc.contributor.authorHussein, Wen_GB
dc.contributor.authorSpencer, Sen_GB
dc.contributor.authorWalshe, Jen_GB
dc.contributor.authorDenton, Men_GB
dc.contributor.authorConlon, P Jen_GB
dc.contributor.authorMagee, Cen_GB
dc.date.accessioned2012-02-01T10:04:24Z-
dc.date.available2012-02-01T10:04:24Z-
dc.date.issued2012-02-01T10:04:24Z-
dc.identifier.citationIr J Med Sci. 2012 Mar;181(1):59-63. Epub 2011 Oct 28.en_GB
dc.identifier.issn1863-4362 (Electronic)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid22033814en_GB
dc.identifier.doi10.1007/s11845-011-0767-4en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207304-
dc.description.abstractOBJECTIVE: To report the pregnancy outcomes in Irish female renal transplant recipients on modern maintenance immunosuppression. METHODS: The Republic of Ireland transplant database was accessed to identify the patient cohort in question. All female renal transplant recipients whose transplantation was in Ireland before or during their reproductive years were included. A questionnaire was sent to the identified women. A chart review was performed for those women who reported a pregnancy following renal transplantation. RESULTS: Two hundred and ten women met the inclusion criteria. There was a response rate of 70% (n = 148). Eighteen women reported 29 pregnancies. The live birth rate was 76%. The mean gestation of the live births was 36.2 weeks with a mean birth weight of 3.0 kg. There were six cases of pre-eclampsia. Twin pregnancies and those entering pregnancy with a creatinine greater than 135 micromol/l had particularly complicated clinical courses. Four women had not conceived post transplant despite actively trying for over 1 year. Two women utilised assisted fertility methods (in vitro fertilisation), one of whom became pregnant. CONCLUSIONS: A significant proportion of women who attempt to conceive following renal transplantation are successful, without the use of assisted fertility. Pregnancy in this setting warrants meticulous multidisciplinary care.en_GB
dc.language.isoengen_GB
dc.titleReproductive health in Irish female renal transplant recipients.en_GB
dc.contributor.departmentDepartment of Nephrology, Beaumont Hospital, Dublin 9, Ireland,, kennedyclaire@gmail.com.en_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceLeinster-

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