Experimental uterus transplantation
Today, most causes of infertility are successfully treated. Yet there is still a subgroup of female infertility affecting around 4%, which so far is untreatable because of an absolute uterine…
Transplantation of ovarian tissue
Since the first live birth after orthotopic transplantation of frozen–thawed ovarian tissue, >40 babies have been born. It is time to consider fertility preservation in women as one of the…
Immunosuppressive drugs and fetal outcome
Successful pregnancies have been reported in all types of solid-organ transplant recipients on a variety of immunosuppressive regimens. Immunosuppression is essential to maintain the transplanted organ and maternal health, thus…
Breast-feeding after transplantation
Transplantation affords recipients the potential for a full life and, for some, parenthood. Female transplant recipients must continue to take immunosuppression during pregnancy and breast-feeding. This article reviews case and…
Pregnancy after heart and lung transplantation
Patients awaiting transplantation should be counseled regarding posttransplant contraception and the potential adverse outcomes associated with posttransplant conception. Pregnancy should be avoided for at least 1–2 years post transplant to…
Pregnancies in liver and kidney transplant recipients: a review of the current literature and recommendation
In this article, we focus on the biggest groups of organ transplant recipients, patients with a kidney or liver graft. Among these patients, about one sixth included women of childbearing…
Pregnancy after liver transplantation
Women constitute >30% of patients undergoing liver transplantation (orthotopic liver transplantation, OLT) and about 8% are of reproductive age, and 5% are pediatric females who will mostly survive into adulthood…
The multidisciplinary approach
Complex pathologies associated with chronic health conditions must be dealt in a coordinated way and the ‘multidisciplinary team’ approach (MDTA) represents the most efficacious way of managing these patients. Over…
Pregnancy and reproductive health after solid organ transplantation
This issue of Best Practice and Research, Clinical Obstetrics and Gynaecology is dedicated to the thousands of young women who, after transplantation of a solid vital organ, have attempted pregnancy,…
Obstetrics & Gynaecology After Organ Transplantation – Multiple Choice Answers for Vol 28, No.8
1. a) F b) F c) F d) T e) F Most immunosuppressive drugs are able to reach the Fetal circulation by crossing the placental barrier. However, due to an extensive first pass metabolism…
