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Pregnancy in the liver transplant recipient
Author(s) -
JabiryZieniewicz Zoulikha,
Dabrowski Filip Andrzej,
Pietrzak Bronislawa,
Wyzgal Janusz,
BombaOpoń Dorota,
Zieniewicz Krzysztof,
Wielgos Miroslaw
Publication year - 2016
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1002/lt.24483
Subject(s) - medicine , pregnancy , miscarriage , liver transplantation , gestation , obstetrics , transplantation , intensive care medicine , incidence (geometry) , surgery , genetics , physics , optics , biology
During gestation, the woman's body undergoes various changes, and the line between physiology and pathology is very thin even in healthy women. Today, many of the liver transplant recipients are young women, who at one point in their lives may consider the possibility of pregnancy. Clinicians have to counsel them about the time of conception, the risk of miscarriage, the deterioration of the mother's health status, and the risk of birth defects. This review, based on our 20 years of clinical experience and up‐to‐date literature, provides comprehensive guidelines on pregnancy management in liver transplant recipients. Pregnancy in liver transplant recipients is possible but never physiological. Proper management and pharmacotherapy lowers the incidence of complications and birth defects. Critical factors for perinatal success include stable graft function before pregnancy, proper preparation for pregnancy, and cautious observation during its course. Liver Transplantation 22 1408–1417 2016 AASLD .