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Reproductive life planning in women after kidney or liver transplantation
Author(s) -
SzpotanskaSikorska Monika,
Mazanowska Natalia,
Madej Anna,
KociszewskaNajman Bozena,
Wielgos Miroslaw,
Pietrzak Bronislawa
Publication year - 2018
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/ctr.13378
Subject(s) - medicine , pregnancy , transplantation , population , family planning , kidney transplantation , liver transplantation , fertility , demography , young adult , live birth , gynecology , obstetrics , pediatrics , gerontology , environmental health , research methodology , genetics , sociology , biology
To estimate reproductive life planning in post‐transplant women and to identify factors affecting their pregnancy intentions. Material and Methods A survey study on reproductive life planning was conducted in 217 women of childbearing age who underwent kidney or liver transplantation. The results were compared with data obtained from 816 healthy women surveyed by the Polish Centre for Public Opinion Research. Data were summarized using descriptive statistics. Results Post‐transplant women express a similar desire to have a child as women in the general population (42% vs 40%, respectively; P = 0.638). A comparable majority of childless women would like to give birth (65% vs 77%, P = 0.350). More post‐transplant women who have one child give up on future procreation plans (80% vs 46%, P < 0.001). The main factors affecting post‐transplant reproductive life planning were age ( OR :0.79; 95% CI : 0.73‐0.85), number of live births ( OR :0.22; 95% CI : 0.11‐0.43), and use of drugs contraindicated in pregnancy ( OR :0.27; 95% CI : 0.11‐0.63). Conclusions Women after kidney or liver transplantation, especially childless, have a similar willingness to become mothers as those in the general population. For post‐transplant women who have already given birth, it is worth considering contraceptive counseling because these women more often choose to not attempt another pregnancy.