Document Detail


Pregnancy after liver transplantation.
MedLine Citation:
PMID:  9638909     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article reviews the reported experience with pregnancy after liver transplantation and describes obstetric risks and medical issues that the maternal fetal medicine specialist has a reference for managing these pregnancies and for providing appropriate preconception counseling. Women who undergo liver transplantations have a higher risk of preeclampsia, worsening hypertension, preterm premature rupture of membranes, anemia, small for gestational age, preterm delivery, and cesarean section than the normal obstetric population. Women with preconceptional renal dysfunction appear to be at greatest risk for pregnancy complications. Women who conceived within 6 months of transplant had a high risk of rejection. Reproductive-aged recipients of liver allograft should receive contraception and preconception counseling. In an appropriately timed and planned pregnancy, women who undergo liver transplantations can have successful pregnancies with little risk to their allograft function.
Authors:
H L Casele; S A Laifer
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in perinatology     Volume:  22     ISSN:  0146-0005     ISO Abbreviation:  Semin. Perinatol.     Publication Date:  1998 Apr 
Date Detail:
Created Date:  1998-09-08     Completed Date:  1998-09-08     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7801132     Medline TA:  Semin Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  149-55     Citation Subset:  IM    
Affiliation:
Division of Maternal Fetal Medicine, Northwestern University Medical School, Evanston Hospital, IL 60201, USA.
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MeSH Terms
Descriptor/Qualifier:
Contraception
Counseling
Female
Humans
Immunosuppressive Agents / adverse effects
Infant Mortality
Infant, Newborn
Liver Transplantation / adverse effects*
Postpartum Period
Pregnancy
Pregnancy Outcome*
Risk Factors
Chemical
Reg. No./Substance:
0/Immunosuppressive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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