Document Detail


Pregnancy in liver transplant recipients: course and outcome in 19 cases.
MedLine Citation:
PMID:  8384405     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Our aim was to evaluate the course and outcome of pregnancy in orthotopic liver transplant recipients. STUDY DESIGN: We report the course and outcome of 19 pregnancies in 19 orthotopic recipients since 1985, out of 775 patients who have undergone liver transplant in our center. Statistical analysis was based on the chi 2 test with a 95% confidence interval, when appropriate. RESULTS: There were four spontaneous abortions and three therapeutic abortions for impaired liver function. One current pregnancy is uncomplicated at 19 weeks' gestation. Eleven women have given birth to 11 healthy infants at 38 +/- 1.5 weeks' gestation. There were no preterm deliveries. Birth weight was normal for gestational age in 10 of the 11 cases, with a mean value of 2990 +/- 370 gm. The main complications in the 11 successful pregnancies were hypertension in three and graft dysfunction at 37 weeks' gestation in another. CONCLUSION: Pregnancy is successful in a large proportion of liver transplant recipients, but it must be planned and managed as a high-risk situation by both an obstetrician and a surgeon.
Authors:
Y Ville; H Fernandez; D Samuel; H Bismuth; R Frydman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  168     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1993-04-16     Completed Date:  1993-04-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  896-902     Citation Subset:  AIM; IM    
Affiliation:
Service de Gynécologie-Obstétrique, Hôpital A. Béclère, Clamart, France.
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MeSH Terms
Descriptor/Qualifier:
Abortion, Spontaneous
Adolescent
Adult
Birth Weight
Cytomegalovirus Infections
Female
Fetal Growth Retardation
Gestational Age
Graft Rejection
Humans
Hypertension
Infant, Newborn
Liver Transplantation* / adverse effects
Pregnancy
Pregnancy Complications*
Pregnancy Outcome*

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


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