Start Submission Become a Reviewer

Reading: Pregnancy following renal transplantation in Sri Lanka

Download

A- A+
Alt. Display

Papers

Pregnancy following renal transplantation in Sri Lanka

Authors:

CN Wijeyaratne ,

Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Colombo, LK
X close

R Sheriff,

Department of Clinical Medicine, Faculty of Medicine, University of Colombo, LK
X close

HR Seneviratne,

Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Colombo, LK
X close

AH Sheriffdeen

Department of Surgery, Faculty of Medicine, University of Colombo, LK
X close

Abstract

Objectives To assess the outcome and complications of pregnancy following renal transplantation in Sri Lanka.

Methods Ten pregnancies following transplantation managed between January 1993 and July 1999 by the University Obstetrics and Gynaecology Unit, De Soysa Hospital for Women, Colombo were reviewed.

Results Five women had planned pregnancy with an average duration from transplantation to conception of 2.3 (} 0.2) years; five had an unplanned pregnancy within 12 months of transplantation. All were treated with immunosuppressives, with none developing rejection. In the planned pregnancy group, 3 developed pregnancy induced hypertension and 3 impaired glucose tolerance. All delivered mature healthy babies with an average birth weight of 2.6 (}0.3) kg. In the unplanned group, 1 developed cholestatic jaundice and delivered a growth retarded baby at 36 weeks. Another developed severe pulmonary oedema at 34 weeks (due to a past myocardial infarction) resulting in a fresh stillbirth. Two others has mid-trimester foetal deaths complicating severe diabetes mellitus. The conception at 3 months after transplantation developed diabetes mellitus and pregnancy induced hypertension, and delivered a live growth retarded baby. None had deterioration of renal function.

Conclusions Although a successful outcome is possible with stringent pre-pregnancy selection, maternal morbidity and foetal wastage can be high in those without.

 

DOI: http://dx.doi.org/10.4038/cmj.v45i4.6723

Ceylon Medical Journal 2000; 45(4): 168-170

DOI: https://doi.org/10.4038/cmj.v45i4.6723
How to Cite: Wijeyaratne, C., Sheriff, R., Seneviratne, H. and Sheriffdeen, A., 2014. Pregnancy following renal transplantation in Sri Lanka. Ceylon Medical Journal, 45(4), pp.168–171. DOI: http://doi.org/10.4038/cmj.v45i4.6723
Published on 24 Mar 2014.
Peer Reviewed

Downloads

  • PDF (EN)

    comments powered by Disqus