Late Pregnancy in Women with Renal Transplants: A Multidisciplinary Guide

Overview

Journal Obstet Med

Specialty Gynecology & Obstetrics

Date 2024 May 24

PMID 38784188

Authors

Carmen Mallett

Rachel Scale

Yavor Metodiev

Aamna Ali

Helen Thomas

Usman Khalid

Sian Griffin

Affiliations

Soon will be listed here.

Abstract

Kidney transplant recipients are at risk of complications in late pregnancy, with increased rates of pre-eclampsia, intrauterine growth restriction and preterm birth. It is recommended that these women receive more intensive monitoring after 20 weeks' gestation, ideally provided by a multidisciplinary team in a tertiary centre. This review focuses on the management of late pregnancy in kidney transplant recipients, from the perspective of different members of the multidisciplinary team. This includes evidence and guidance to inform the nephrologist, obstetrician, obstetric anaesthetist, transplant surgeon, midwife, and a summary of the woman's perspective. The review outlines a late pregnancy and early postnatal care pathway as a common algorithm to be used by the whole multidisciplinary team.

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