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Revista chilena de obstetricia y ginecología

versión On-line ISSN 0717-7526

Resumen

BARRIOS ARAYA, Silvia  y  XIMENA CONCHA, Miriam. ¿Que nos señala la literatura en relación al trasplante renal y embarazo?. Rev. chil. obstet. ginecol. [online]. 2014, vol.79, n.5, pp.443-449. ISSN 0717-7526.  http://dx.doi.org/10.4067/S0717-75262014000500014.

Background: Chronic kidney disease is a terminal disease associated with living conditions and habits of the people will increase their incidence worldwide in the entire population including women of childbearing age. Kidney transplantation considered as renal replacement therapy, has allowed women of childbearing age to completing gestation. Chile, has published historical reports of pregnancies in transplanted women, United States reports for 2010 a total of 2,000 pregnancies, with 75% of newborns about living. Objective: To determine normal and pathologic processes in pregnant renal transplant and some recommendations that favor successful completion of pregnancy woman. Methods: Literature search was carried out in ME-DLINE, ProQuest, Scielo and Tripdatabase metasearch, selecting 32 articles for analysis. Analysis of the theme: Not reported the need for dialysis therapy during pregnancy in women transplanted because creatinine levels remain stable with values between 1.14 mg/dL and 1.43 mg/dL until the first half of gestation. Reported maternal complications: urinary tract infections, preeclampsia, chronic hypertension; neonatal complications: prematurity, intrauterine growth restriction, spontaneous abortion and neonatal death and complications and graft: transplant rejection. Studies mentioned schemes the use of one or more immunosuppressive, which were maintained or modified according to a baseline measurement at the beginning of prenatal care. Conclusion: Overall pregnancy in women has transplanted a good result if you receive counseling and multidisciplinary monitoring.

Palabras clave : Pregnancy; kidney transplantation.

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