Pregnancies after kidney transplantation “the journey of hope”. Experience of the University Hospital of Batna, Algeria

Introduction. Renal transplantation is the treatment of choice for chronic end-stage renal failure. Transplantation restores the fertility of transplant recipients, which explains the increase in the number of successful pregnancies in this population. However, it remains a high maternal risk pregnancy fetal and/or neonatal which requires a multidisciplinary approach. Objective. The aim of this study is to provide the results of our experience on pregnancies in kidney transplant patients and to evaluate the impact of pregnancy on kidney graft function. Patients and methods. 79 pregnancies in kidney transplant recipients were analyzed and the long-term results of kidney transplantation were studied. We analyzed the results from clinical and biological data before, during and after pregnancy. Results. Average age of the patients was 35.3 ± 3 years and the time between transplantation and the start of pregnancy was 56.4 ± 31.5 months. There was no significant difference between biological data before and after pregnancy. We did not observe any acute rejection. The average maternal complications were preeclampsia in 30% of cases, low birth weight in 29% of cases, prematurity in 44% and cesarean sections in 57%. There was no impact of pregnancy on the kidney graft during follow-up. Conclusion. Despite the frequency of premature deliveries and comorbidities, monitoring and management of kidney transplant recipients revealed good functional results of the kidney graft.