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Nefrología (Madrid) 2012
Complicaciones perinatales en mujeres con trasplante renal: Perinatal complications in women with kidney transplantDOI: 10.3265/Nefrologia.pre2012.May.11234 Keywords: perinatal complications, renal transplant, chronic kidney failure, pregnancy. Abstract: background: pregnancy in patients with kidney grafts is considered high-risk. objectives: determine perinatal complications in women with kidney transplants treated by our hospital and compare them with complications reported in national and international literature. material and method: we studied perinatal complications in 18 patients with renal transplantation who delivered 19 newborns and were treated between 1 january 2009 and 31 december 2010. results were compared with previous reports. results: maternal age: 28.27±4.70 years old, parity: 2, interval from transplant to conception: 7.52±6.20 years, first prenatal visit 14.35±6.74 weeks, prenatal care: 18.88±9.18 weeks, 6 prenatal visits, gestational age at birth: 33.11±8.72 weeks. maternal complications: cesarean section: 88.88%, blood transfusion: 38.88%, anaemia: 33.33%, premature rupture of membranes: 22.22%, preterm delivery: 22.22%, urinary tract infection: 16.66%, preeclampsia: 11.11%, uncontrolled hypertension: 11.11%, miscarriage: 11.11%, uterine antony: 5.55%, gestational diabetes: 0%, and mortality: 0%. foetal complications: premature birth: 52.63%, mortality: 21.05%, intensive care: 21.05%, and low birth weight due to growth restriction: 10.52%. transplantation complications: filtration impairment without need for dialysis: 5.55%, graft rejection: 0%, and graft loss: 0%. conclusions: the frequency of perinatal complications was high. pregnancy had no adverse effect on renal function and patient survival. stable renal grafts in women of childbearing age is not necessarily a contraindication for pregnancy.
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