Reproductive function after liver transplantation.
Publication/Presentation Date
8-1-1997
Abstract
Successful pregnancy outcomes are possible after liver transplantation. Although there are risks to the mother and fetus, there has not been an increased incidence of malformations noted in the newborn of liver recipients. Close, coordinated care involving the hepatologist, surgeon, and high-risk obstetrician is essential to ensure a favorable outcome. Immunosuppression peripartum should be maintained at appropriate levels. Of note, a small subset of recipients may suffer worsened graft function during pregnancy. Recurrent liver disease, especially viral hepatitis, and CMV infection appear to pose significant risks to mother and offspring, respectively, although the magnitude of the risks is unknown. It therefore would seem prudent to consider pregnancy only in female liver recipients who have passed at least 1 year with stable graft function. In addition, new immunosuppressive regimens further add to the lack of information regarding pregnancy safety. The NTPR is an ongoing database to collect information and pregnancy outcomes. That information should be helpful in counseling recipients and in pregnancy management.
Volume
1
Issue
2
First Page
471
Last Page
485
ISSN
1089-3261
Published In/Presented At
Armenti, V. T., Herrine, S. K., & Moritz, M. J. (1997). Reproductive function after liver transplantation. Clinics in liver disease, 1(2), 471–485. https://doi.org/10.1016/s1089-3261(05)70281-6
Disciplines
Medicine and Health Sciences
PubMedID
15562579
Department(s)
Department of Surgery
Document Type
Article