Delivery in pregnant women with the grafted kidney


Citar

Texto integral

Resumo

The authors describe their experience in managing pregnancy in 108 women with the grafted kidney, which ended in labor in 68 of them; cesarean section was made in 63 (92.7%) women. The surgery was performed through a transverse suprapubic access, with a transverse lower uterine segment incision. On extracting the fetal head, methylprednisolone was intravenously injected in a dose of 500-750 mg (bolus plus therapy) in order to prevent kidney graft rejection. Just after surgery, azathioprine was administered in a dose of 100 mg/day to enhance immunosuppression. In the postpartum period, antibacterial therapy was performed with second-third generation cephalosporins for 7-10 days. Sutures were removed on days 7-10 after surgery. Breastfeeding is contraindicated due to the fact that immunosuppressants can pass into breast milk.

Bibliografia

  1. Кыйв И.К., Каск В.А., Гросс К.Я Динамика содержания пролактина в течение нормального менструального цикла и в период лактации// Акт. вопр. акушерства и гинекологии. - Тарту, 1980.
  2. Минкина А.И., Рымашевская Э.П., Курганова Л.С. Гормональные аспекты физиологической беременности. - Ростов-на-Дону, 1987.
  3. Byrd L., Donnai P., Gokal R. Outcome of pregnancy following renal transplantation // J. Obstet. and Gynaec. - 2000. - Vol. 20, N 1. - P. 15-18.
  4. Cecka J.M. The UNOS Scientifie Renal Transplantat Registry. - Los Angeles, 1997.
  5. Dianne B., McKay M., Josephson M. A. Pregnancy after Kidney Transplantation// Clinic. Amer. Soc. Nephrol. - 2008. - Vol. 3. - S.117-S.125.
  6. Gutierrez M.J., Acebedo-Ribo M., Garcia-Donairec J.A. et al. Pregnancy in renal transplant recipients // Transplant. Proc. - 2005. - Vol. 37. - P. 3721-3722.
  7. Hou S. Pregnancy in Women with chronic renal disease.// New Engl. J. Med. - 1985. - Vol. 312. - P. 836-848.
  8. Mahbob Lessan-Pezeshki. Pregnancy after renal transplantation to consider //Nephrol. Dial. Transplant. - 2002. - Vol. 17. - P. 703-707.
  9. Oliveira J.G., Sass N., Sato J. et al. Pregnancy after renal transplantation≫ A five-yrsingle-center experience// Clinic. Transplant. - 2007. - Vol. 21. - P. 301-304.
  10. Shahbazian N., Shahbazian H. Pregnancy in renal transplant recipients // Med. forual Jslamic Rep. Jran. - 2006. - Vol. 20, № 2. P. 70-73.
  11. Sibanda Nokuthaba, Briggs J. et al. Pregnancy after Organ Transplantation // Transplantation . -2007. - Vol. 20, № 2. - P. 27.

Arquivos suplementares

Arquivos suplementares
Ação
1. JATS XML
Baixar

Declaração de direitos autorais © Bionika Media, 2010

Este site utiliza cookies

Ao continuar usando nosso site, você concorda com o procedimento de cookies que mantêm o site funcionando normalmente.

Informação sobre cookies