Kalinka Jarosław, Szubert Maria, Zdziennicki Andrzej, Chojnowski Krzysztof, Maciejewski Marek, Piestrzeniewicz Katarzyna, Zakliczyński Michał, Drożdż Jarosław
Department of Perinatology, First Chair of Gynecology and Obstetrics, Medical University of Lodz, Poland.
Department of Surgical and Oncological Gynecology, Medical University of Lodz, Poland.
Kardiochir Torakochirurgia Pol. 2014 Sep;11(3):339-42. doi: 10.5114/kitp.2014.45688. Epub 2014 Sep 28.
Pregnancy after organ transplantation is becoming relatively common. We present the case of a heart transplant recipient who gave birth to a second child. Despite the fact that the transplanted heart seems to adapt well to the changes caused by pregnancy, gestation in patients after heart transplantation may be complicated by hypertension, pre-eclampsia, or preterm labor. In this article, we consider the issues of preterm uterine contractions, anemia, thrombocytopenia, and several other complications in pregnant patients with transplanted hearts. We also present current opinions regarding the use of glucocorticoids as a form of preventing breathing disorders in neonates as well as breast-feeding by mothers receiving immunosuppressive agents. Pregnancies in heart transplant recipients should be considered high-risk. A second successful delivery of a healthy child remains a challenge for such patients and their doctors.
器官移植后怀孕正变得相对常见。我们介绍了一位心脏移植受者生下第二个孩子的病例。尽管移植的心脏似乎能很好地适应怀孕引起的变化，但心脏移植患者的妊娠可能会并发高血压、先兆子痫或早产。在本文中，我们探讨了心脏移植孕妇的早产宫缩、贫血、血小板减少症及其他几种并发症问题。我们还介绍了关于使用糖皮质激素预防新生儿呼吸障碍以及接受免疫抑制剂治疗的母亲进行母乳喂养的当前观点。心脏移植受者的妊娠应被视为高危妊娠。此类患者及其医生要再次成功分娩出健康婴儿仍是一项挑战。
