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Diabetic, Kidney Transplant Patient, Trying For Pregnancy, Advised Pregnacare. Safe?
I m a kidney transplanted patient about 1 and a half year back...now planning to have a baby and gynecologist advised me pregnacare conception ....just started few days back..but i want to confirm it that can i take these medicines or not or i can have any side effect on my kidney with pregnacare... i m also diabetic plzz guide me
Wed, 13 Feb 2013
Hello,
Yes,indeed it is a very important question.
Although study shows that chances of pregnancy are high after a transplant but there has to be lot of precautions to be followed.
The most important guideline is to wait for 2 years after the transplant
It should be noticed that the highest rate of complications is within 2 years of the transplant. 2 years later, the risk will drop by 50%. All these complications carry an increased risk of both the mother and baby death.
Other parameter is pre- pregnancy kidney function.
... If the pre-pregnany creatinine level is
... If a pre-pregnancy creatinine is >1.4, the outcome drops to 70~75%. 1/3 of these cases end in abortion.
While the transplanted kidney functions perfectly normally, during pregnancy patients are at higher risk of preeclampsia and early delivery and since you are a diabetic,the risk increases still more.
In general, the sooner patients gets pregnant after transplantation, the greater risk of developing complications.
Discuss with your Gyneobs and a nephrologist and then proceed ahead with the pregnancy.
Thanks
Yes,indeed it is a very important question.
Although study shows that chances of pregnancy are high after a transplant but there has to be lot of precautions to be followed.
The most important guideline is to wait for 2 years after the transplant
It should be noticed that the highest rate of complications is within 2 years of the transplant. 2 years later, the risk will drop by 50%. All these complications carry an increased risk of both the mother and baby death.
Other parameter is pre- pregnancy kidney function.
... If the pre-pregnany creatinine level is
... If a pre-pregnancy creatinine is >1.4, the outcome drops to 70~75%. 1/3 of these cases end in abortion.
While the transplanted kidney functions perfectly normally, during pregnancy patients are at higher risk of preeclampsia and early delivery and since you are a diabetic,the risk increases still more.
In general, the sooner patients gets pregnant after transplantation, the greater risk of developing complications.
Discuss with your Gyneobs and a nephrologist and then proceed ahead with the pregnancy.
Thanks
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