医学
怀孕
肾移植
肾移植
重症监护医学
入射(几何)
肾
产科
内科学
遗传学
生物
光学
物理
作者
Madhusudan Vijayan,Martha Pavlakis
出处
期刊:Current Opinion in Nephrology and Hypertension
[Ovid Technologies (Wolters Kluwer)]
日期:2017-11-01
卷期号:26 (6): 494-500
被引量:9
标识
DOI:10.1097/mnh.0000000000000363
摘要
Purpose of review The current article reviews the available literature on the incidence, complications, outcomes, and management of pregnancies in kidney transplant recipients. Recent findings Pregnancy can be a reasonable option for women with a kidney transplant. More than 4700 successful pregnancies have been reported after kidney transplantation. New data have emerged regarding the risk of allograft dysfunction following pregnancy. There is a lack of consensus on the optimal time for conception, immunosuppressive targets, the safety of allograft biopsy, and infection surveillance. Successful pregnancies have recently been reported in ABO-incompatible transplant recipients and recipients of combined heart–kidney transplants. Summary The ideal contraceptive method, timing of conception, immunosuppressant protocol, infection surveillance, and the method of delivery should be individualized depending on the patient's age and medical conditions.
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