AYSEL BÜLEZ, NERİMAN SOĞUKPINAR, Levent AKMAN, Mete ERGENOĞLU, Özgür YENİEL

Renal transplantasyon sonrası gebelik: Olgu sunumu ve literatürün gözden geçirilmesi

Son evre renal hastalıkta gebelik nadir bir durumdur. Renal transplantlı hastalarda başarılı bir gebelik sağlanabilir ancak anne ve fetus için birçok risk mevcuttur. Bu hastaların dikkatli bir şekilde takibi yapılmalı; nefroloji, obstetrik ve neonatoloji uzmanları ile multidisipliner bir yaklaşım uygulanmalıdır. Bu yazıda, 28 yaşında 34. gebelik haftasında kontrolünde tansiyon yüksekliği saptanan 5 yıldır renal transplantlı gebe sunulmuştur. Ayrıca, renal transplantlı kadınların gebelik süreçlerine ilişkin klinik bilgiler tartışılmıştır

Pregnancy after renal transplantation: Case presentation and review of the literature

Pregnancy is a rare case in the end stage renal disease. A successful pregnancy can be attained on the patients with renal transplantation; however, numerous risks for the mother and the fetus exist. Those patients should be followed rigorously; and a multidisciplinary approach should be applied with the experts of nephrology, obstetric and neonatology. In this article, a 28-year-old pregnant woman, who was diagnosed with high blood pressure in the 34thweek of pregnancy and who has been a renal transplant patient for 5 years is presented. Clinical information related to pregnant women with renal transplantation was also discussed

PDF

___

Yamaç K, Gürsoy R, Çakır N. Gebelik ve sistemik hastalıklar. 2002, s: 643
Armenti VT, Constantinescu S, Moritz MJ, Davison JM. Pregnancy after transplantation. Transplant Rev (Orlando) 2008;22(4):223- 40.
Lessan-Pezeshki M, Ghazizadeh S, Khatami MR, et al. Fertility and contraceptive issues after kidney transplantation in women. Transplant Proc 2004;36(5):1405-6.
Deshpande NA, James NT, Kucirka LM, et al. Pregnancy outcomes in kidney transplant recipients: A systematic review and meta- analysis. Am J Transplant 2011;11(11):2388-404.
Başaran O, Emiroğlu R, Seçme S, Moray G, Haberal M. Pregnancy and renal transplantation. Transplant Proc 2004;36(1):122-4.
Celik G, Töz H, Ertilav M, et al. Biochemical parameters, renal function, and outcome of pregnancy in kidney transplant recipient.
Transplant Proc 2011;43(7):2579-83.
Zachariah MS, Tornatore KM, Venuto RC. Kidney transplantation and pregnancy. Curr Opin Organ Transplant 2009;14(4):386-91.
Lessan-Pezeshki M. Pregnancy after renal transplantation: points to consider. Nephrol Dial Transplant 2002;17(5):703-7.
Sifontis NM, Coscia LA, Constantinescu S, Lavelanet AF, Moritz MJ, Armenti VT. Pregnancy outcomes in solid organ transplant recipients with exposure to mycophenolate mofetil or sirolimus. Transplantation 2006;82(12):1698-702.
Fuchs KM, Coustan DR. Immunosuppressant therapy in pregnant organ transplant recipients. Semin Perinatol 2007;31(6):363-71.