Pregnancy outcome after double renal transplant in a secondary level hospital

Authors

  • Tushar Utekar Department of Obstetrics and Gynecology, Rotunda Hospital, Dublin, Ireland
  • Sam Thomas Department of Obstetrics and Gynecology, MRHM Mullingar, Ireland
  • Majda Almshwt Department of Obstetrics and Gynecology, MRHM Mullingar, Ireland
  • Birendra Rai Department of Paediatrics, University of Leicester, UK

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20211539

Keywords:

Double renal transplant, Tacrolimus, Azathioprine

Abstract

A 28-year-old recent migrant with no pre-conception care booked at 18 weeks of pregnancy with history of double renal transplant on left side wherein the kidney being placed in left iliac fossa. She was on cyclosporine, azathioprine, methylprednisolone the later was tapered in the first 2 months of pregnancy and was started on low dose aspirin, she had uneventful antenatal period until after 36 weeks when she developed mild preeclampsia and rising creatinine, which was managed by reducing immunosuppressant’s dose and was restarted on prednisolone by discussion over telephone with nephrologist from neighbouring Regional Hospital. She had an elective LSCS at 38 weeks as requested and had a healthy male baby after steroid cover. Her intraoperative and postoperative period was uneventful as well.

References

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Bramham K, Nelson PC, Gao H, Pierce M, Bush N, Spark P, et al. Pregnancy in renal transplant recipients: a UK national cohort study. Clin J Am Soc Nephrol. 2013;8(2):290-8.

Deshpande NA, James NT, Kucirka LM, Boyarsky BJ, Garonzik-Wang JM, Montgomery RA, et al. Pregnancy outcomes in kidney transplant recipients: a systematic review and meta-analysis. Am J Transplant. 2011;11(11):2388-404.

Roberge S, Villa P, Nicolaides K, Giguère Y, Vainio M, Bakthi A, Ebrashy A, Bujold E. Early administration of low-dose aspirin for the prevention of preterm and term preeclampsia: a systematic review and meta-analysis. Fetal Diagn Ther. 2012;31(3):141-6.

European Association of Urology. EAU Guidelines on Renal Transplantation. Available at: https://uroweb.org/course/eau-guidelines-on-renal-transplantation/. Accessed on 10 March 2021.

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Published

2021-04-23

Issue

Section

Case Reports