Reproduction and contraception after kidney transplantation

Suzanne Watnick, Jose Rueda

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

PURPOSE OF REVIEW: In this manuscript we review the most recent data regarding birth rates and complications in the kidney transplant population. Despite improved fertility, contraceptive counseling is infrequent and contraceptive use engenders many problems not frequently seen in women of childbearing age. RECENT FINDINGS: Pregnancy outcomes in this population are improving, but these patients are still considered 'high risk'. With improved fertility after transplantation, contraception should be viewed as essential in those who wish to avoid pregnancy. Many forms of contraception are viable for women with a kidney transplant. SUMMARY: Given increased rates of preeclampsia, preterm delivery, low birth weight, and increased risk of cesarean section, a multidisciplinary team must be involved, which will tend to everything from general fetal and maternal monitoring, serial measurement of kidney function, and medication adjustment. For all these reasons, contraceptive counseling is necessary for all women of childbearing age, both pre and posttransplantation. Specific methods of contraception can be individualized to a patient's needs and should be discussed between patient and provider. Future study of both reproduction and contraception use in kidney transplant recipients is sorely needed.

Original languageEnglish (US)
Pages (from-to)308-312
Number of pages5
JournalCurrent Opinion in Obstetrics and Gynecology
Volume20
Issue number3
DOIs
StatePublished - Jun 2008

Fingerprint

Contraception
Kidney Transplantation
Reproduction
Contraceptive Agents
Kidney
Fertility
Counseling
Fetal Monitoring
Transplants
Social Adjustment
Birth Rate
Low Birth Weight Infant
Pregnancy Outcome
Pre-Eclampsia
Cesarean Section
Population
Transplantation
Mothers
Pregnancy

Keywords

  • Contraception
  • Kidney transplantation
  • Reproduction

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Reproduction and contraception after kidney transplantation. / Watnick, Suzanne; Rueda, Jose.

In: Current Opinion in Obstetrics and Gynecology, Vol. 20, No. 3, 06.2008, p. 308-312.

Research output: Contribution to journalArticle

@article{4cc3693f5e4545e988acdfefa11b94b4,
title = "Reproduction and contraception after kidney transplantation",
abstract = "PURPOSE OF REVIEW: In this manuscript we review the most recent data regarding birth rates and complications in the kidney transplant population. Despite improved fertility, contraceptive counseling is infrequent and contraceptive use engenders many problems not frequently seen in women of childbearing age. RECENT FINDINGS: Pregnancy outcomes in this population are improving, but these patients are still considered 'high risk'. With improved fertility after transplantation, contraception should be viewed as essential in those who wish to avoid pregnancy. Many forms of contraception are viable for women with a kidney transplant. SUMMARY: Given increased rates of preeclampsia, preterm delivery, low birth weight, and increased risk of cesarean section, a multidisciplinary team must be involved, which will tend to everything from general fetal and maternal monitoring, serial measurement of kidney function, and medication adjustment. For all these reasons, contraceptive counseling is necessary for all women of childbearing age, both pre and posttransplantation. Specific methods of contraception can be individualized to a patient's needs and should be discussed between patient and provider. Future study of both reproduction and contraception use in kidney transplant recipients is sorely needed.",
keywords = "Contraception, Kidney transplantation, Reproduction",
author = "Suzanne Watnick and Jose Rueda",
year = "2008",
month = "6",
doi = "10.1097/GCO.0b013e3282f8b009",
language = "English (US)",
volume = "20",
pages = "308--312",
journal = "Current Opinion in Obstetrics and Gynecology",
issn = "1040-872X",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Reproduction and contraception after kidney transplantation

AU - Watnick, Suzanne

AU - Rueda, Jose

PY - 2008/6

Y1 - 2008/6

N2 - PURPOSE OF REVIEW: In this manuscript we review the most recent data regarding birth rates and complications in the kidney transplant population. Despite improved fertility, contraceptive counseling is infrequent and contraceptive use engenders many problems not frequently seen in women of childbearing age. RECENT FINDINGS: Pregnancy outcomes in this population are improving, but these patients are still considered 'high risk'. With improved fertility after transplantation, contraception should be viewed as essential in those who wish to avoid pregnancy. Many forms of contraception are viable for women with a kidney transplant. SUMMARY: Given increased rates of preeclampsia, preterm delivery, low birth weight, and increased risk of cesarean section, a multidisciplinary team must be involved, which will tend to everything from general fetal and maternal monitoring, serial measurement of kidney function, and medication adjustment. For all these reasons, contraceptive counseling is necessary for all women of childbearing age, both pre and posttransplantation. Specific methods of contraception can be individualized to a patient's needs and should be discussed between patient and provider. Future study of both reproduction and contraception use in kidney transplant recipients is sorely needed.

AB - PURPOSE OF REVIEW: In this manuscript we review the most recent data regarding birth rates and complications in the kidney transplant population. Despite improved fertility, contraceptive counseling is infrequent and contraceptive use engenders many problems not frequently seen in women of childbearing age. RECENT FINDINGS: Pregnancy outcomes in this population are improving, but these patients are still considered 'high risk'. With improved fertility after transplantation, contraception should be viewed as essential in those who wish to avoid pregnancy. Many forms of contraception are viable for women with a kidney transplant. SUMMARY: Given increased rates of preeclampsia, preterm delivery, low birth weight, and increased risk of cesarean section, a multidisciplinary team must be involved, which will tend to everything from general fetal and maternal monitoring, serial measurement of kidney function, and medication adjustment. For all these reasons, contraceptive counseling is necessary for all women of childbearing age, both pre and posttransplantation. Specific methods of contraception can be individualized to a patient's needs and should be discussed between patient and provider. Future study of both reproduction and contraception use in kidney transplant recipients is sorely needed.

KW - Contraception

KW - Kidney transplantation

KW - Reproduction

UR - http://www.scopus.com/inward/record.url?scp=43149125162&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=43149125162&partnerID=8YFLogxK

U2 - 10.1097/GCO.0b013e3282f8b009

DO - 10.1097/GCO.0b013e3282f8b009

M3 - Article

C2 - 18460947

AN - SCOPUS:43149125162

VL - 20

SP - 308

EP - 312

JO - Current Opinion in Obstetrics and Gynecology

JF - Current Opinion in Obstetrics and Gynecology

SN - 1040-872X

IS - 3

ER -