» Articles » PMID: 34345409

Maternal, Foetal and Child Consequences of Immunosuppressive Drugs During Pregnancy in Women with Organ Transplant: a Review

Overview
Journal Clin Kidney J
Specialty Nephrology
Date 2021 Aug 4
PMID 34345409
Citations 12
Authors
Affiliations
Soon will be listed here.
Abstract

Although pregnancy remains exceptional in women after heart, liver or lung transplant, obstetricians and nephrologists are regularly confronted with pregnancy in renal transplant recipients. National and international registries have described the epidemiology of maternal, foetal and neonatal complications, and transplantation societies have published recommendations on the monitoring of these high-risk pregnancies. In this review, we summarize the existing data on maternal and foetal complications of pregnancies in women after renal transplant, especially the management of immunosuppression. We also describe the few available data on the middle- and long-term outcomes of their children who were exposed to immunosuppressive drugs.

Citing Articles

Approach to Glomerular Disease in Pregnancy.

Meena P, Jesudason S, Popa C, Rao N, Priyamvada P Indian J Nephrol. 2024; 34(6):561-572.

PMID: 39649308 PMC: 11618947. DOI: 10.25259/IJN_26_2024.


Pregnancy in patients with chronic kidney disease undergoing dialysis.

Gorayeb-Polacchini F, Moura A, Luders C, Moura Neto J, Leme J, Silva D J Bras Nefrol. 2024; 46(4):e20240067.

PMID: 39514687 PMC: 11548865. DOI: 10.1590/2175-8239-JBN-2024-0067en.


Kidney disease and reproductive health.

Smith P, Sarris I, Clark K, Wiles K, Bramham K Nat Rev Nephrol. 2024; 21(2):127-143.

PMID: 39501029 DOI: 10.1038/s41581-024-00901-6.


The impact of the use of immunosuppressive treatment after an embryo transfer in increasing the rate of live birth.

Andreescu M Front Med (Lausanne). 2023; 10:1167876.

PMID: 37441690 PMC: 10333755. DOI: 10.3389/fmed.2023.1167876.


Various aspects of hearing loss in newborns: A narrative review.

Al-Ani R World J Clin Pediatr. 2023; 12(3):86-96.

PMID: 37342452 PMC: 10278076. DOI: 10.5409/wjcp.v12.i3.86.


References
1.
Aitchison R, Marsh J, Hows J, Russell N, Gordon-Smith E . Pregnancy associated aplastic anaemia: a report of five cases and review of current management. Br J Haematol. 1989; 73(4):541-5. DOI: 10.1111/j.1365-2141.1989.tb00294.x. View

2.
Colla L, Diena D, Rossetti M, Manzione A, Marozio L, Benedetto C . Immunosuppression in pregnant women with renal disease: review of the latest evidence in the biologics era. J Nephrol. 2018; 31(3):361-383. DOI: 10.1007/s40620-018-0477-3. View

3.
Kainz A, Harabacz I, Cowlrick I, Gadgil S, Hagiwara D . Review of the course and outcome of 100 pregnancies in 84 women treated with tacrolimus. Transplantation. 2001; 70(12):1718-21. DOI: 10.1097/00007890-200012270-00010. View

4.
Shah S, Verma P . Overview of Pregnancy in Renal Transplant Patients. Int J Nephrol. 2017; 2016:4539342. PMC: 5155089. DOI: 10.1155/2016/4539342. View

5.
Shaheen F, Al-Sulaiman M, Al-Khader A . Long-term nephrotoxicity after exposure to cyclosporine in utero. Transplantation. 1993; 56(1):224-5. DOI: 10.1097/00007890-199307000-00044. View