Pregnancy Outcomes After Kidney Transplantation and Long-Term Evolution of Children: A Single Center Experience

•Pregnancies in women who underwent transplants are successful in two-thirds of cases.•They are at increased risk of obstetrical complications.•Long-term medical and psychological outcomes of children seem favorable. Pregnancies in women who underwent kidney transplants are at high risk compared with the general population. In this study, we aimed to retrospectively assess the obstetrical complications, delivery outcomes, and impact of pregnancy on kidney allograft function in a single-center cohort of kidney transplant recipients (KTRs). We provide data regarding the long-term evolution of children. Thirty-two KTRs underwent a total of 57 pregnancies between 1994 and 2010. Fourteen pregnancies (24 %) did not survive caused by miscarriages (n = 9), stillborn (n = 1), ectopic pregnancies (n = 2), and medical abortion (n = 2). Live birth occurred in 76% of pregnancies. Delivery was by cesarean in 66%. The mean gestational age was 30.45 ± 11.3 weeks and 65% of newborns were premature. A low birth weight