Baltzer J, Samtleben W, Castro L A, Land W, Gurland H J, Eigler J, Zander J
Geburtshilfe Frauenheilkd. 1980 Dec;40(12):1047-51. doi: 10.1055/s-2008-1039529.
Women with uremia are usually infertile. Following successful renal transplants ovarian function resumes and conception becomes possible. Two cases of pregnancy following renal transplants are reported. The first patient had a Caesarean section at 33 weeks gestation for maternal indications, the second patient had a Caesarean section at 36 weeks gestation because of premature spontaneous rupture of the membranes. Both mothers and infants are in satisfactory condition. The problems of pregnancies following renal transplants are discussed and the literature since 1963 is reviewed. Pregnancy following renal transplantation is a high risk pregnancy for both the mother and the fetus. These high risks are acceptable if close supervision of the pregnancy by the nephrologist, gynaecologist and paediatrician are possible and if co-operation of the mother is satisfactory.
患尿毒症的女性通常不孕。肾移植成功后,卵巢功能恢复,受孕成为可能。本文报告了两例肾移植后妊娠的病例。第一例患者因母亲的指征在妊娠33周时行剖宫产,第二例患者因胎膜早破早产在妊娠36周时行剖宫产。母婴情况均良好。本文讨论了肾移植后妊娠的问题,并回顾了自1963年以来的文献。肾移植后妊娠对母亲和胎儿来说都是高风险妊娠。如果肾脏科医生、妇科医生和儿科医生能够密切监测妊娠情况,并且母亲的配合令人满意,那么这些高风险是可以接受的。