Evaluation of obstetric outcomes and prognostic significance of graft function in kidney transplant recipient pregnancies


MADAZLI R., KAYMAK D., Alpay V., Erenel H. , DİNCER M. T. , SEYAHİ N.

HYPERTENSION IN PREGNANCY, vol.39, no.2, pp.89-94, 2020 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 39 Issue: 2
  • Publication Date: 2020
  • Doi Number: 10.1080/10641955.2020.1727498
  • Title of Journal : HYPERTENSION IN PREGNANCY
  • Page Numbers: pp.89-94

Abstract

Objective: To evaluate obstetric and kidney outcomes in pregnancies with kidney transplantation. Methods: We retrospectively reviewed 32 singleton pregnancies in kidney transplant recipients. Obstetric outcomes were explored according to the estimated glomerular filtration rates (eGFR) of patients. Results: The incidences of fetal growth restriction, preeclampsia were 18.8% and 34.4%, respectively. There was a significant negative correlation between first-trimester eGFR and perinatal mortality (r = -0.546, p = .0.001) and composite adverse obstetric outcome (r = -0.415, p = .0.018). Conclusion: The degree of transplanted kidney function impairment at the beginning of pregnancy is the major determinant of pregnancy outcome.