Key result
Female kidney transplant recipients average ~73% on pre-pregnancy risk management KAP scores, indicating knowledge gaps.
Why the study?
Women of child-bearing age with a kidney transplant face higher pregnancy risks, making pre-pregnancy risk management clinically important, but its current status and influencing factors among Chinese patients were not well explored.
Cross-Sectional (n=247)
Yes
Women of child-bearing age with a kidney transplant have positive attitudes towards pre-pregnancy risk management but require targeted health education to improve knowledge and practices.
May warrant enhanced counseling for transplant recipients planning pregnancy; leaves open effects on outcomes.
BACKGROUND: Some women of child-bearing age with a kidney transplant have a strong fertility desire, but they face a significantly higher risk of pregnancy than healthy women. Pre-pregnancy risk management can help patients achieve planned pregnancies and reduce the risk factors for adverse pregnancy outcomes. Therefore, knowledge, attitudes, and practices (KAP) about pre-pregnancy risk management are clinically important. AIMS: To explore the current status and influencing factors of the KAP status of pre-pregnancy risk management among Chinese women of child-bearing age with a kidney transplant. DESIGN: A cross-sectional study. METHODS: This cross-sectional study used convenience sampling to recruit 247 women of child-bearing age with a kidney transplant from 5 hospitals in Hunan Province from May to October 2024, using a 37-item questionnaire developed and validated by multidisciplinary experts. RESULTS: The mean KAP questionnaire was 135.04 ± 21.60, and the score rate was 72.99%. The scoring rates of knowledge, attitude and practices are 64.63%, 89.77% and 78.50%, respectively. Multiple linear regression analysis identified age, marital status, occupation, permanent residence and length of time after kidney transplantation as independent factors associated with pre-pregnancy risk management KAP levels (p < 0.05). CONCLUSIONS: Women of child-bearing age with a kidney transplant showed generally positive attitudes towards pre-pregnancy risk management. However, their knowledge and practice levels need improvement. Healthcare providers should provide targeted health education to help them reduce pregnancy-related risks. IMPACT: It is anticipated that this study will help nursing staff identify specific areas of inadequate knowledge for kidney transplant recipients before pregnancy and provide targeted health education to guide patients to reduce adverse outcomes for both mother and baby.
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Ma et al. (2026) conducted a cross-sectional in Kidney transplant in women of child-bearing age (n=247). Pre-pregnancy risk management KAP was evaluated on KAP questionnaire score. Among women of child-bearing age with a kidney transplant, the mean KAP score for pre-pregnancy risk management was 135.04 (72.99%), indicating a need for improved knowledge and practices.
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