Can I have a healthy baby after kidney transplant? All childbearing women are
concerned about this issue very much. The experts point out that if kidney
transplant is successful, they can give birth to a healthy baby.
With the recovery of renal function after kidney transplant, they can recover
their ovulation, menstruation and sexual desire. If the women meet the following
requirements, they can get pregnant.
1. Their transplanted kidneys and physical condition are well in 18 months
after kidney transplant.
2. The serum creatinine is less than 177 mmol/L (2grams/dl).
3. The patients do not have hypertension or proteinuria.
4. They just need microdose of immunosuppressant to resist the rejection
reaction.
5. There is no seeper in pelvis and kidney calices or expanding of pelvis and
kidney calices.
The women had better choose to get pregnancy between 2~5 years after kidney
transplant. This is because the patients are very likely to lose renal function
within 2 years after kidney transplant for acute rejection reaction. In
addition, the incidence of chronic rejection reaction will increase 5 years
later after kidney transplant. Some patients may be affected by obviously
increased high blood pressure. If the patients get pregnant during this period,
about 42 % of them have to terminate pregnancy, or abort spontaneously or have
therapeutic abortion. Terminating pregnancy is mainly caused by instable
condition of transplanted kidney, aggravation of renal function, unintended
pregnancy and so on.
In addition, ectopic pregnancy may also occur, but with a low incidence. In
the thirtieth week of pregnancy, glomerular filtration rate may decline
temporarily so about 40% of patients usually have proteinuria. However, in most
cases, the proteinuria will disappear after birth.
During pregnancy, the incidence of acute rejection reaction is 9% that is the
same with the non-pregnancy patients. However, if the acute rejection reaction
causes the renal function to decline, usually they should terminate pregnancy.
If the liver and renal functions go well, they do not decline their dosage of
immunosuppressant. If the pregnant women do not have serious complications after
ten weeks of pregnancy, most of them can deliver their babies normally.
If a woman plan to get pregnant after kidney transplant, they should ask for
advises from their doctors. Moreover, they should keep follow-up during their
pregnancy so as to guarantee the health of mother and baby. If you want to get
more professional advices about your pregnancy, please consult us on line or
email to kidney-treatment@hotmail.com. Hope you can have a healthy baby.