Evaluation of obstetric outcomes and prognostic significance of graft function in kidney transplant recipient pregnancies

Objective To evaluate obstetric and kidney outcomes in pregnancies with kidney transplantation. Methods We retrospectively reviewed 32 singleton pregnancies in kidney transplant recipients. Obstetric outcomes were explored according to the estimated glomerular filtration rates (eGFR) of patients. Re...

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Bibliographic Details
Main Authors: Riza Madazlı, Didem Kaymak, Verda Alpay, Hakan Erenel, M. Tamer Dincer, Nurhan Seyahi
Format: Article
Language:English
Published: Taylor & Francis Group 2020-04-01
Series:Hypertension in Pregnancy
Subjects:
Online Access:http://dx.doi.org/10.1080/10641955.2020.1727498
Description
Summary:Objective To evaluate obstetric and kidney outcomes in pregnancies with kidney transplantation. Methods We retrospectively reviewed 32 singleton pregnancies in kidney transplant recipients. Obstetric outcomes were explored according to the estimated glomerular filtration rates (eGFR) of patients. Results The incidences of fetal growth restriction, preeclampsia were 18.8% and 34.4%, respectively. There was a significant negative correlation between first-trimester eGFR and perinatal mortality (r = −0.546, p = .0.001) and composite adverse obstetric outcome (r = −0.415, p = .0.018). Conclusion The degree of transplanted kidney function impairment at the beginning of pregnancy is the major determinant of pregnancy outcome.
ISSN:1064-1955
1525-6065