Key result
Pregnancy is a reasonable option for women with a kidney transplant, with more than 4700 successful pregnancies reported in the literature.
Pregnancy is a viable option for kidney transplant recipients, but requires individualized management of immunosuppression, infection surveillance, and delivery.
Supports individualized counseling for kidney transplant recipients considering pregnancy; extends observational data but leaves prospective validation open.
PURPOSE OF REVIEW: The current article reviews the available literature on the incidence, complications, outcomes, and management of pregnancies in kidney transplant recipients. RECENT FINDINGS: Pregnancy can be a reasonable option for women with a kidney transplant. More than 4700 successful pregnancies have been reported after kidney transplantation. New data have emerged regarding the risk of allograft dysfunction following pregnancy. There is a lack of consensus on the optimal time for conception, immunosuppressive targets, the safety of allograft biopsy, and infection surveillance. Successful pregnancies have recently been reported in ABO-incompatible transplant recipients and recipients of combined heart-kidney transplants. SUMMARY: The ideal contraceptive method, timing of conception, immunosuppressant protocol, infection surveillance, and the method of delivery should be individualized depending on the patient's age and medical conditions.
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Vijayan et al. (2017) conducted a review in Pregnancy in kidney transplant recipients. Pregnancy was evaluated. Pregnancy is a reasonable option for women with a kidney transplant, with more than 4700 successful pregnancies reported in the literature.
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