Pregnancy following renal transplantation in Sri Lanka.

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dc.contributor.authorWijeyaratne, C Nen_US
dc.contributor.authorSheriff, Ren_US
dc.contributor.authorSeneviratne, H Ren_US
dc.contributor.authorSheriffdeen, A Hen_US
dc.date.accessioned2009-05-28T05:00:38Z
dc.date.available2009-05-28T05:00:38Z
dc.date.issued2000-12-11en_US
dc.descriptionThe Ceylon Medical Journal.en_US
dc.description.abstractOBJECTIVE: To assess the outcome and complications of pregnancy following renal transplantation in Sri Lanka. METHODS: Ten pregnancies following transplantation managed between January 1993 and July 1999 by the University Obstetrics and Gynaecology Unit, De Soysa Hospital for Women, Colombo were reviewed. RESULTS: Five women had planned pregnancy with an average duration from transplantation to conception of 2.3 (+/- 0.2) years; five had an unplanned pregnancy within 12 months of transplantation. All were treated with immunosuppressives, with none developing rejection. In the planned pregnancy group, 3 developed pregnancy induced hypertension and 3 impaired glucose tolerance. All delivered mature healthy babies with an average birth weight of 2.6 (+/- 0.3) kg. In the unplanned group, 1 developed cholestatic jaundice and delivered a growth retarded baby at 36 weeks. Another developed severe pulmonary oedema at 34 weeks (due to a past myocardial infarction) resulting in a fresh stillbirth. Two others has mid-trimester foetal deaths complicating severe diabetes mellitus. The conception at 3 months after transplantation developed diabetes mellitus and pregnancy induced hypertension, and delivered a live growth retarded baby. None had deterioration of renal function. CONCLUSION: Although a successful outcome is possible with stringent pre-pregnancy selection, maternal morbidity and foetal wastage can be high in those without.en_US
dc.description.affiliationDepartment of Obstetrics and Gynaecology, Faculty of Medicine, University of Colombo.en_US
dc.identifier.citationWijeyaratne CN, Sheriff R, Seneviratne HR, Sheriffdeen AH. Pregnancy following renal transplantation in Sri Lanka. The Ceylon Medical Journal. 2000 Dec; 45(4): 168-70en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/47787
dc.language.isoengen_US
dc.source.urihttps://www.infolanka.com/CMJhome/en_US
dc.subject.meshAdulten_US
dc.subject.meshCesarean Sectionen_US
dc.subject.meshEmbryonic and Fetal Developmenten_US
dc.subject.meshFemaleen_US
dc.subject.meshGestational Ageen_US
dc.subject.meshHumansen_US
dc.subject.meshIncidenceen_US
dc.subject.meshKidney Transplantation --statistics & numerical dataen_US
dc.subject.meshMonitoring, Physiologicen_US
dc.subject.meshPregnancy --statistics & numerical dataen_US
dc.subject.meshPregnancy Complications --diagnosisen_US
dc.subject.meshPregnancy Outcomeen_US
dc.subject.meshPregnancy, High-Risken_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshRisk Assessmenten_US
dc.subject.meshSri Lanka --epidemiologyen_US
dc.titlePregnancy following renal transplantation in Sri Lanka.en_US
dc.typeJournal Articleen_US
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