Pregnancy Following Renal Transplantation
摘要
A total of 211 kidney transplantations were performed at our hospital from Oct. 1982 to Oct. 1996. Of these available for this study, 96 were female and 47 were child-bearing age. A total of 7 patients with 7 successful pregnancies resulted in the birth of 8 infants (1 pair of twins). All the patients were maintained on low dose oral steroids throughout the pregnancy, 5 were on cy-closporine A, 1 on azathioprine and 1 on triple treatment All births were completed with normal vaginal delivery. Premature birth occurred in 4 re-cipients (5 infants). All the babies were below the 50 percentile of the normogram of birth weight to gestational age. None had congenital abnormalities. Premature ruptures of membrane (PROM) occurred in 2 cases and pre-eclampsia occurred in 3 patients. One patient developed graft hydronephrosis in the 2 and trimester that needed PCN for renal function preservation . All of our patients had stable renal function during the course of pregnancy. We conclude that preg-nancy and delivery may not impose a significant threat to recipients and their graft kidneys if re-cipients are followed up regularly and carefully. (J Urol R.O.C., 8:131-134, 1997)