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Abstract Objective: Review pregnancy outcomes after non-renal organ transplantation (NROTx) and document long-term consequences of pregnancy on mother and fetus. Methods: We performed a retrospective case-control study in women who had NROTx at our centre and delivered between 1997 and 2014. Cases were matched with non-pregnant transplanted women. Matching was performed for age at transplantation, reason for transplantation and transplant function. Results: We retrieved 19 pregnancies in 16 women who underwent NROTx, including 1 twin pregnancy (liver n=9,heart n=9,lung n=1). The main complications during pregnancy in the heart transplant group were deterioration of renal function (n=4), infection (n=4) and anemia (n=5) for wich blood transfusions were needed. In the liver transplant group we observed new onset hypertension (n=4), pre-eclampsia (n=1) and IUGR (n=3). The lung recipient had an infection and anemia. There were no transplant rejections during pregnancy. Median maternal age at delivery was 29 years (20,1-43,4 years) and median time between organ transplantation and birth was 6 years (1,9-14,3 years). Median gestational age at delivery was 33 weeks (29- 40,6 weeks). 9 women were delivered by cesarean section. Median follow-up after delivery was 7,2 years (2,2-14,1 years). Complication rates were similar in cases compared to controls. The only significant difference was the need for kidney transplantation in the pregnant population (P=0,04). Conclusion: Pregnancy can result in good neonatal outcome in NROTx recipients, but their is a high risk of obstetrical complications and long-term maternal morbidity. In our cohort, pregnancy did not negatively effect transplant function.

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• Reference Manager
• EndNote
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Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

Choose an application

• Reference Manager
• EndNote
• RefWorks (Direct export to RefWorks)

Human medicine