Solid organ transplantation in pregnancy

Kate Sophie Wiles, Alexandra Tillett, Kate Harding

Research output: Contribution to journalReview articlepeer-review

Abstract

In the UK, there are approximately 50–60 pregnancies in women with solid organ transplants each year. Kidney transplants are the most common. Adverse maternal and fetal outcomes, including rates of pre‐eclampsia, fetal growth restriction and preterm delivery, are higher in women with solid organ transplants than in the general obstetric population. Management of the solid organ transplant recipient in pregnancy includes pre‐eclampsia prophylaxis and monitoring, screening for gestational diabetes and fetal growth restriction, graft surveillance and management of immunosuppressive therapy. Multidisciplinary working is essential in the care of pregnant women with solid organ transplants. Vaginal birth is not contraindicated in women with solid organ transplants.
Original languageEnglish
Pages (from-to)189-197
JournalThe Obstetrician and Gynaecologist
Volume18
Issue number3
DOIs
Publication statusPublished - 23 Jul 2016

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