PREGNANCY IN RENAL TRANSPLANT RECIPIENTS

The purpose of this study is to investigate the rate of fertility andresults of pregnancy among KTP women, and the assessment of the function oftransplanted kidneys during pregnancy among those who have received kidneys inGolestan Hospital from 1996 to 2003. All the transplanted women in child bearing age who were interested in accepting pregnancy were involved in this study. After pregnancy, all the patientswere visited twice a month until the 32nd week of pregnancy and their histories weretaken and regular clinical examination and necessary paraclinical assessments werecarried out. After the 32nd week, they were visited weekly and other necessaryassessments were done in addition to previous measures. Taking immunosuppressivedrugs was continued with a minor dose reduction and consumption of harmful drugslike some antihypertensives was prohibited. 16 out of 48 women who were at child bearing age and were interested in pregnancy got pregnant and totally 22 cases of pregnancy occurred. Four cases resulted in spontaneous or therapeutic abortion and 3 out of 18 remaining cases ha intrauterine fetal death and the others had successful pregnancy. The most commoncomplication was LBW and following that premature labor. Maternal complicationswere no more than the general population and the function of the transplanted kidneyhad no decline in most of the cases. Based on what was mentioned, it is concluded that successful KTPcan increase the chance of pregnancy and in order to improve the results of pregnancy,it is necessary to prepare ideal conditions especially for the transplanted kidney beforepregnancy, while pregnancy does not produce any decline in the function of thetransplanted kidney.