PREGNANCY AND CHILDBIRTH IN PATIENTS WITH RENAL ALLOGRAFT (CASE REPORT)
https://doi.org/10.24884/1607-4181-2017-24-1-74-78
Abstract
Relevance. Kidney transplantation is the method of choice for women of reproductive age with late stage of chronic kidney disease, who want to realize their childbearing function. Pregnancy and childbirth in patients with renal allografts are classified as an increased risk due to the more frequent complications compared to the general population. Progressive pregnancy is observed in 5–12 % of patients with renal allograft, the frequency of favorable outcomes in such cases is 65–92 %.
Objective. To identify the most common complications in pregnancy in women with a transplanted kidney, to review the algorithms for maintaining this category of patients
Material and methods. In the clinic of obstetrics and gynecology two patients with a renal allograft were examined and delivered, observed in common with specialists from the Research Institute of Surgery and Urgent Medicine.
Results. Both patients were delivered by a cesarean section, the postoperative period proceeded without complications in both cases.
Conclusions. This category of patients needs to be closely monitored throughout the pregnancy by a multidisciplinary team of specialists. This article describes the clinical cases of pregnancy in patients with a transplanted kidney.
About the Authors
R. R. Temirbulatov
Federal State Budgetary Educational Institution of Higher Education «Academician I. P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation
Russian Federation
Russian Federation
Rinat R. Temirbulatov
6-8 L’va Tolstogo street, Saint-Petersburg, 197022. E-mail: rinattmr@gmail.com
V. F. Bezhenar
Federal State Budgetary Educational Institution of Higher Education «Academician I. P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation
Russian Federation
Russian Federation
O. N. Reznik
Federal State Budgetary Educational Institution of Higher Education «Academician I. P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation
Russian Federation
Russian Federation
A. N. Anan’ev
Federal State Budgetary Educational Institution of Higher Education «Academician I. P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation
Russian Federation
Russian Federation
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Review
For citations:
Temirbulatov R.R., Bezhenar V.F., Reznik O.N., Anan’ev A.N. PREGNANCY AND CHILDBIRTH IN PATIENTS WITH RENAL ALLOGRAFT (CASE REPORT). The Scientific Notes of the Pavlov University. 2017;24(1):74-78. (In Russ.) https://doi.org/10.24884/1607-4181-2017-24-1-74-78
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