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Nefrología (Madrid)

versão impressa ISSN 0211-6995

Resumo

VAZQUEZ-RODRIGUEZ, Juan G.  e  RIOS-CHAVARRIA, Ana L.. Complicaciones perinatales en mujeres con trasplante renal: Perinatal complications in women with kidney transplant. Nefrología (Madr.) [online]. 2012, vol.32, n.5, pp.639-646. ISSN 0211-6995.  http://dx.doi.org/10.3265/Nefrologia.pre2012.May.11234.

Background: Pregnancy in patients with kidney grafts is considered high-risk. Objectives: Determine perinatal complications in women with kidney transplants treated by our hospital and compare them with complications reported in national and international literature. Material and Method: We studied perinatal complications in 18 patients with renal transplantation who delivered 19 newborns and were treated between 1 January 2009 and 31 December 2010. Results were compared with previous reports. Results: Maternal age: 28.27±4.70 years old, parity: 2, interval from transplant to conception: 7.52±6.20 years, first prenatal visit 14.35±6.74 weeks, prenatal care: 18.88±9.18 weeks, 6 prenatal visits, gestational age at birth: 33.11±8.72 weeks. Maternal complications: cesarean section: 88.88%, blood transfusion: 38.88%, anaemia: 33.33%, premature rupture of membranes: 22.22%, preterm delivery: 22.22%, urinary tract infection: 16.66%, preeclampsia: 11.11%, uncontrolled hypertension: 11.11%, miscarriage: 11.11%, uterine antony: 5.55%, gestational diabetes: 0%, and mortality: 0%. Foetal complications: premature birth: 52.63%, mortality: 21.05%, intensive care: 21.05%, and low birth weight due to growth restriction: 10.52%. Transplantation complications: filtration impairment without need for dialysis: 5.55%, graft rejection: 0%, and graft loss: 0%. Conclusions: The frequency of perinatal complications was high. Pregnancy had no adverse effect on renal function and patient survival. Stable renal grafts in women of childbearing age is not necessarily a contraindication for pregnancy.

Palavras-chave : Perinatal complications; Renal transplant; Chronic kidney failure; Pregnancy.

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