Maternal, foetal and child consequences of immunosuppressive drugs during pregnancy in women with organ transplant: a review
Although pregnancy remains exceptional in women after heart, liver or lung transplant, obstetricians and nephrologists are regularly confronted with pregnancy in renal transplant recipients. National and international registries have described the epidemiology of maternal, foetal and neonatal compli...
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Veröffentlicht in: | Clinical Kidney Journal 2021-08, Vol.14 (8), p.1871-1878 |
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creator | Boulay, Hugoline Mazaud-Guittot, Séverine Supervielle, Jeanne Chemouny, Jonathan M Dardier, Virginie Lacroix, Agnes Dion, Ludivine Vigneau, Cécile |
description | Although pregnancy remains exceptional in women after heart, liver or lung transplant, obstetricians and nephrologists are regularly confronted with pregnancy in renal transplant recipients. National and international registries have described the epidemiology of maternal, foetal and neonatal complications, and transplantation societies have published recommendations on the monitoring of these high-risk pregnancies. In this review, we summarize the existing data on maternal and foetal complications of pregnancies in women after renal transplant, especially the management of immunosuppression. We also describe the few available data on the middle- and long-term outcomes of their children who were exposed in utero to immunosuppressive drugs. |
doi_str_mv | 10.1093/ckj/sfab049 |
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National and international registries have described the epidemiology of maternal, foetal and neonatal complications, and transplantation societies have published recommendations on the monitoring of these high-risk pregnancies. In this review, we summarize the existing data on maternal and foetal complications of pregnancies in women after renal transplant, especially the management of immunosuppression. 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National and international registries have described the epidemiology of maternal, foetal and neonatal complications, and transplantation societies have published recommendations on the monitoring of these high-risk pregnancies. In this review, we summarize the existing data on maternal and foetal complications of pregnancies in women after renal transplant, especially the management of immunosuppression. We also describe the few available data on the middle- and long-term outcomes of their children who were exposed in utero to immunosuppressive drugs.</description><subject>Antihypertensive drugs</subject><subject>Antithymocyte globulin</subject><subject>Belatacept</subject><subject>Chronic kidney failure</subject><subject>CKJ Reviews</subject><subject>Epidemiology</subject><subject>Gynecology and obstetrics</subject><subject>Human health and pathology</subject><subject>Immunology</subject><subject>Immunotherapy</subject><subject>Kidneys</subject><subject>Life Sciences</subject><subject>Liver</subject><subject>Organ transplant recipients</subject><subject>Pediatrics</subject><subject>Pregnant women</subject><subject>Transplantation</subject><issn>2048-8513</issn><issn>2048-8505</issn><issn>2048-8513</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><recordid>eNp9kt1rFDEQwBdRbKl98h8ICKLotclOsh99EI6ibeHEF30OuexkL3U3WZPdKwX_eLPsIa1IE5gkk998JDNZ9prRM0ZrONc_b8-jUVvK62fZcU55taoEg-cP9kfZaYy3NI10oly8zI6AAxec1sfZ769qxOBU95EYj6PqiHIN0TvbJeldxF8TOo2ReENs30_Ox2kYAsZo90iaMLWRNFOwriVJ2zrl9D2xjtz5HpO044740CpHxqBcHDrlxguiSMC9xbtX2Qujuoinh_Uk-_Hl8_fL69Xm29XN5Xqz0rym40pQzo3QtWI6R9ACG8MEYAmCQ66rggHo3BRVRTUvQRuksM0bIUpWbqERBZxknxa_w7TtsdHoUjadHILtVbiXXln5-MbZnWz9XlaQAwORHLxfHOz-Mbteb-SsowBCAGN7lth3h2DBp8-Lo-xt1Nilp6OfosyFqFLlKjrn9WZBW9WhtM74FF3PuFyXRSEKyqo5-Nl_qDQb7G2qERqb9I8MPiwGOvgYA5q_KTMq566RqWvkoWsS_Xah_TQ8Cf4BwsXCNg</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Boulay, Hugoline</creator><creator>Mazaud-Guittot, Séverine</creator><creator>Supervielle, Jeanne</creator><creator>Chemouny, Jonathan M</creator><creator>Dardier, Virginie</creator><creator>Lacroix, Agnes</creator><creator>Dion, Ludivine</creator><creator>Vigneau, Cécile</creator><general>Oxford University Press</general><scope>TOX</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6309-3986</orcidid><orcidid>https://orcid.org/0000-0003-0566-4124</orcidid></search><sort><creationdate>20210801</creationdate><title>Maternal, foetal and child consequences of immunosuppressive drugs during pregnancy in women with organ transplant: a review</title><author>Boulay, Hugoline ; 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National and international registries have described the epidemiology of maternal, foetal and neonatal complications, and transplantation societies have published recommendations on the monitoring of these high-risk pregnancies. In this review, we summarize the existing data on maternal and foetal complications of pregnancies in women after renal transplant, especially the management of immunosuppression. We also describe the few available data on the middle- and long-term outcomes of their children who were exposed in utero to immunosuppressive drugs.</abstract><pub>Oxford University Press</pub><pmid>34345409</pmid><doi>10.1093/ckj/sfab049</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-6309-3986</orcidid><orcidid>https://orcid.org/0000-0003-0566-4124</orcidid><oa>free_for_read</oa></addata></record> |
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source | Oxford Journals Open Access Collection; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
subjects | Antihypertensive drugs Antithymocyte globulin Belatacept Chronic kidney failure CKJ Reviews Epidemiology Gynecology and obstetrics Human health and pathology Immunology Immunotherapy Kidneys Life Sciences Liver Organ transplant recipients Pediatrics Pregnant women Transplantation |
title | Maternal, foetal and child consequences of immunosuppressive drugs during pregnancy in women with organ transplant: a review |
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