Grossesse après transplantation hépatique

V. Houfflin Debarge , S. Dharancy , A. Bourgain , A.-F. Dalmas , J.-P. Dubos , F.-R. Pruvot
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Abstract

Pregnancy is possible for women after liver transplantation. However, these women have a higher risk of pre eclampsia, hypertension, small for gestational age and preterm delivery than the normal obstetric population. Pregnancy can be safely considered one year after the transplantation provided hepatic and renal functions are stable. Renal dysfunction is associated with a higher risk of foetal and maternal complication. Immunosuppressive medication should be continued. Pregnancy does not appear to alter hepatic graft function. Careful monitoring of these pregnancies is essential for favourable outcome.

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肝移植后怀孕
肝移植后的女性有可能怀孕。然而,这些妇女患先兆子痫、高血压、小于胎龄和早产的风险高于正常产科人群。如果肝肾功能稳定,移植后一年可以考虑怀孕。肾功能不全与胎儿和母体并发症的高风险相关。应继续使用免疫抑制药物。妊娠似乎不会改变肝移植的功能。仔细监测这些妊娠对于获得良好的结局至关重要。
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