Multiple pregnancies in women after renal transplantation: Case report that rises a management dilemma

Boris Furman, Arnon Wiznitzer, Rinat Hackmon, Joseph Gohar, Moshe Mazor

Research output: Contribution to journalArticlepeer-review

32 Scopus citations

Abstract

Objectives: To report the pregnancy outcome in women with multiple pregnancies after renal transplantation. Materials and methods: We report two cases of multiple pregnancies (triplets and twins) in renal allograft recipients and evaluate the pregnancy courses and maternal and fetal outcome of these patients. Results: After fetal reduction from triplet to twin pregnancy the first patient delivered healthy twin babies at 36 weeks gestation. Six months after delivery the woman is well with no signs of renal function impairment. Although the second patient did not meet the optimal criteria for consideration of pregnancy in renal transplant recipients, she delivered normal twin babies at 33 weeks' gestation. Maternal complications during pregnancy included preeclampsia, mild deterioration of renal function tests, and secondary complications due to drug therapy that was resolved after delivery. No graft rejection episodes were noted in either case during pregnancy. Conclusions: Multifetal gestation in renal allograft recipients represents a high-risk pregnancy that should be managed at a tertiary care institution. The overall outcome in properly consulted patients can be considered favorable. Based on our limited experience with two cases, we suggest reduction of triplets to a twin pregnancy which is consistent with the current literature data. Copyright (C) 1999 Elsevier Science Ireland Ltd.

Original languageEnglish
Pages (from-to)107-110
Number of pages4
JournalEuropean Journal of Obstetrics and Gynecology and Reproductive Biology
Volume84
Issue number1
DOIs
StatePublished - 1 Jan 1999
Externally publishedYes

Keywords

  • Fetal reduction
  • High-risk pregnancy
  • Multiple pregnancy
  • Renal transplantation

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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