Volume 29, Issue 158, April 2025

Navigating Pregnancy After Liver and Kidney Transplantation. A review study

Julia Krasnodębska^1♦, Karolina Stachyra⁴, Mateusz Leśniewski¹, Anna Bieda⁵, Arkadiusz Zaremba², Marta Borecka³, Maciej Wyskok⁶, Michał Kluska⁷, Przemysław Kwiatka³, Karolina Hanusz³

¹Czerniakowski Hospital, Stępińska 19/25, 00-739 Warsaw, Poland
²Scanmed Rudolf Weigl Hospital, Sosnowa 16, 42-290 Blachownia, Poland
³National Medical Institute of the Ministry of the Interior and Administration, Wołoska 137, 02-507 Warsaw, Poland
⁴1st Department of Obstetrics and Gynecology, Medical University of Warsaw, place Sokratesa Starynkiewicza 1, 02-015 Warsaw, Poland
⁵Mazovian Bródnowski Hospital, Ludwika Kondratowicza 8, 03-242 Warsaw, Poland
5Czerniakowski Hospital, Stępińska 19/25, 00-739 Warsaw, Poland
⁶Academy of Silesia, Rolna 43, 40-555 Katowice, Poland
⁷Samodzielny Publiczny Szpital Kliniczny im. Prof. W. Orłowskiego CMKP, Czerniakowska 231, 00-416 Warsaw, Poland

^♦Corresponding author
Julia Beata Krasnodębska Czerniakowski Hospital, Stępińska 19/25, 00-739 Warsaw, Poland

ABSTRACT

Pregnancy after kidney or liver transplantation is a common situation, which creates complex challenges and causes a necessity for a multidisciplinary approach. This review underlines primary problems related to pre-pregnancy counseling, pregnancy outcomes, and immunosuppression management in pregnant women who underwent liver or kidney transplantation. The study reviews the current literature on managing pregnancy in liver and kidney transplant recipients. Successful pregnancies are possible after liver or kidney transplantation but require a multidisciplinary approach involving transplant specialists, obstetricians, and other healthcare professionals. The most important factors that can help minimize the risk of complications are monitoring the mother's and fetus's health, precise risk assessment, and matched immunosuppression. A new analysis is needed to create a universal guideline for multidisciplinary teams to facilitate managing that kind of high-risk pregnancies.

Keywords: Pregnancy, liver transplantation, kidney transplantation

Medical Science, 2025, 29, e59ms3551

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DOI: https://doi.org/10.54905/disssi.v29i158.e59ms3551

Published: 25 April 2025