Painless Delivery Compared to Cesarean Delivery in Women Who Have Had Kidney Transplants

Labor pain has some adverse effects, which can be significantly reduced after delivery without pain. In the present study, we assumed that the elimination of labor pain effectively leads to favorable pregnancy outcome in women with kidney transplantation. Among the kidney recipients in Ekbatan and Shahid Beheshti hospitals in Hamadan, whose kidney transplantation was carried out from 1994 to 2016, 17 women were selected, aged 17-35, who decided to get pregnant at least one year after surgery. 7 cases were cesarean delivery and other painless deliveries. None of the people who had painless labor had history of abortion or the risk of it. Either of them was exposed to pregnancy toxicity. Administration of immunosuppressive drugs did not increase during this period. All patients had normal bleeding during labor. There were no abnormalities in the newborns. Weight gain in infants with an average of 5300 grams was significant. During one year of follow up, none of the expected complications including increased serum creatinine, urinary tract infection, or high blood pressure occured, and the survival of the kidney transplant was similar to that of other non-pregnant participants. In general, all participants were reluctant to give birth. Relaxation delivery is based on epidural anesthesia, like delivery in non-transplanted individuals.