Document Detail


Pregnancy and birth after kidney donation: the Norwegian experience.
MedLine Citation:
PMID:  18853953     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Reports on pregnancies in kidney donors are scarce. The aim was to assess pregnancy outcomes for previous donors nationwide. The Medical Birth Registry of Norway holds records of births since 1967. Linkage with the Norwegian Renal Registry provided data on pregnancies of kidney donors 1967-2002. A random sample from the Medical Birth Registry was control group, as was pregnancies in kidney donors prior to donation. Differences between groups were assessed by two-sided Fisher's exact tests and with generalized linear mixed models (GLMM). We identified 326 donors with 726 pregnancies, 106 after donation. In unadjusted analysis (Fisher) no differences were observed in the occurrence of preeclampsia (p = 0.22). In the adjusted analysis (GLMM) it was more common in pregnancies after donation, 6/106 (5.7%), than in pregnancies before donation 16/620 (2.6%) (p = 0.026). The occurrence of stillbirths after donation was 3/106 (2.8%), before donation 7/620 (1.1%), in controls (1.1%) (p = 0.17). No differences were observed in the occurrence of adverse pregnancy outcome in kidney donors and in the general population in unadjusted analysis. Our finding of more frequent preeclampsia in pregnancies after kidney donation in the secondary analysis must be interpreted with caution, as the number of events was low.
Authors:
A V Reisaeter; J Røislien; T Henriksen; L M Irgens; A Hartmann
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Publication Detail:
Type:  Journal Article     Date:  2008-10-06
Journal Detail:
Title:  American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons     Volume:  9     ISSN:  1600-6143     ISO Abbreviation:  Am. J. Transplant.     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-04-06     Completed Date:  2009-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100968638     Medline TA:  Am J Transplant     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  820-4     Citation Subset:  IM    
Affiliation:
Department of Medicine, Section of Nephrology, Rikshospitalet, University of Oslo, Norway. anna.varberg.reisaeter@rikshospitalet.no
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Fetal Development / physiology*
Humans
Living Donors*
Nephrectomy / adverse effects*
Norway / epidemiology
Parity
Pre-Eclampsia / epidemiology*
Pregnancy
Pregnancy Complications / epidemiology*
Pregnancy Outcome
Premature Birth / epidemiology*
Reference Values
Reproducibility of Results
Comments/Corrections
Comment In:
Am J Transplant. 2009 Apr;9(4):661-8   [PMID:  19344459 ]

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


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