MANAGEMENT OF PREGNANCY AND LABOUR AFTER KIDNEY TRANSPLANTATION: CLINICAL CASE

Abstract

Aim. To present a clinical case of pregnancy and childbirth in a woman with a kidney transplant with a favourable outcome for the mother and the fetus. Materials and methods. We studied all medical documents — the pregnancy record, observations and delivery record — of a woman with a transplanted kidney. Clinical case. The article describes the clinical observation of a pregnant woman, who is intended for continuous immunosuppressive therapy after the operation on cadaveric kidney allotransplantation. Conclusion. Pregnancy management in patients with a transplanted kidney should be carried out under the supervision of an obstetrician-gynecologist, nephrologist and urologist, as well as under the permanent clinical and laboratory monitoring of all indicators of the mother’s body (blood and urine tests, blood pressure control) and the fetus (ultrasound, Doppler). This category of patients belongs to a high-risk group in terms of complications for the mother and fetus.

Keywords

• pregnancy
• kidney transplantation
• immunosuppressive therapy
• arterial hypertension