Unwanted pregnancy among kidney transplant recipients in Iran

Transplant Proc. 2005 Sep;37(7):3085-6. doi: 10.1016/j.transproceed.2005.07.060.

Abstract

To investigate the incidence of unwanted pregnancy among kidney transplant recipients, we studied 86 pregnancies in 64 women with a transplanted kidney. Twenty-five pregnancies were unwanted (29.1%). Pregnancy was terminated by induced abortion in seven patients, and four pregnancies were lost due to spontaneous abortion with one intrauterine fetal death. Only 13 (52%) pregnancies resulted in a live birth. Most of the unwanted pregnancies occurred in women using coitus interruptus (92%) as the only method of contraception. It is concluded that because fertility greatly improves after kidney transplantation, it is necessary to have a family planning counseling session before surgery. If a patient is not interested in future pregnancy, an effective method of contraception should be offered. A woman who has decided against childbearing in the future may decide to have a tubal ligation at the time of transplantation surgery.

MeSH terms

  • Abortion, Induced
  • Adolescent
  • Adult
  • Coitus Interruptus
  • Female
  • Fetal Death
  • Humans
  • Iran
  • Kidney Transplantation / physiology*
  • Pregnancy
  • Pregnancy Outcome
  • Pregnancy, Unwanted*