Management of reproductive health after cardiac transplantation
| Autor: | Luisa Wetta, Marc G. Cribbs, Rachel G. Sinkey, Allison Hayes, Hind N. Moussa, Sabrina Kopf, Charles W. Hoopes, Jose A. Tallaj, Andrew Lenneman, Joanna M. Joly, Phillip Weeks, Sudeep Aryal, Indranee Rajapreyar, Salpy V. Pamboukian, Deepak Acharya |
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| Rok vydání: | 2019 |
| Předmět: |
Counseling
medicine.medical_specialty medicine.medical_treatment Population 030230 surgery 03 medical and health sciences 0302 clinical medicine Pregnancy Medicine Humans education Intensive care medicine Reproductive health education.field_of_study Fetus 030219 obstetrics & reproductive medicine business.industry Pregnancy Outcome Obstetrics and Gynecology Immunosuppression medicine.disease Checklist Transplantation Pregnancy Complications surgical procedures operative Contraception Reproductive Health Pediatrics Perinatology and Child Health Heart Transplantation Transplant patient Female business |
| Zdroj: | The journal of maternal-fetalneonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. 34(9) |
| ISSN: | 1476-4954 |
| Popis: | Pregnancy after cardiac transplantation poses immense challenges. Maternal risks include hypertensive disorders of pregnancy, rejection, and failure of the cardiac allograft that may lead to death. Fetal risks include potential teratogenic effects of immunosuppression and prematurity. Because of the high-risk nature of pregnancy in a heart transplant patient, management of reproductive health after cardiac transplantation should include preconception counseling to all women in the reproductive age group before and after cardiac transplantation. Reliable contraception is vital as nearly half of the pregnancies in this population are unintended. Despite the associated risks, successful pregnancies after cardiac transplantation have been reported. A multidisciplinary approach proposed in this review is essential for successful outcomes. A checklist for providers to guide management is provided. |
| Databáze: | OpenAIRE |
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