Division of Nursing Science Department of Health Sciences, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Division of Nursing Science Department of Health Sciences, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
Transplant Proc. 2021 Mar;53(2):630-635. doi: 10.1016/j.transproceed.2020.10.046. Epub 2020 Dec 24.
Half of pediatric living liver transplantation donors are mothers, including women of reproductive age. Reports on pregnancy and childbirth after living donor liver transplantation are limited to medical aspects, and mothers' experiences remain unclear. We describe the experiences of women who became pregnant and gave birth after living donor liver transplantation.
We used a qualitative descriptive approach. Eleven women who became pregnant and delivered following pediatric living liver transplant donation participated in face-to-face, in-depth interviews. Data collected via semi-structured interviews were assessed using an inductive qualitative analysis. The study was conducted in accordance with the Declaration of Helsinki.
Women's experiences with pregnancy and childbirth following pediatric living liver transplant donation were categorized as follows: explanation and consultation on pregnancy and childbirth after liver donation; physical and mental burden after liver donation; concern about the effects of donor surgery on pregnancy and childbirth; consideration for own body; concern about the physical condition of my child, who is the recipient; and the presence of health professionals with which to easily consult.
After donation, mothers are physically burdened and experiences anxiety about the physical condition of the recipient as well as about pregnancy and childbirth. Therefore, continuous psychosocial support is necessary.
半数儿科活体肝移植供者为母亲，其中包括育龄妇女。关于活体肝移植供者妊娠和分娩的报告仅限于医学方面，母亲的经历尚不清楚。我们描述了活体肝移植供者后怀孕和分娩的女性的经历。
我们采用定性描述方法。11 名在儿科活体肝移植供者后怀孕并分娩的女性参加了面对面的深入访谈。通过半结构化访谈收集的数据采用归纳定性分析进行评估。该研究符合《赫尔辛基宣言》。
女性在儿科活体肝移植供者后怀孕和分娩的经历可分为以下几类：肝移植后妊娠和分娩的解释和咨询；肝移植后的身心负担；对供者手术对妊娠和分娩影响的担忧；对自身身体的考虑；对受体即自己孩子身体状况的担忧；以及能够方便咨询的卫生专业人员的存在。
供者后，母亲身体负担重，对受体的身体状况以及妊娠和分娩感到焦虑。因此，需要持续的社会心理支持。
