Maternity and lung transplantation: cases in Spain.

Felipe Zurbano, Francisco López, Inocencia Fornet, José Ramón de Miguel, Javier Segovia, Piedad Ussetti

Unidad de Trasplante Pulmonar, Servicio de Neumología, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, Spain. nmlzgf@humv.es

Archivos de bronconeumología 2012 Oct

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We contacted and analyzed the data of 18 lung transplant recipients who had had children. The complications we detected included: hypertension (50%), diabetes mellitus (21%), preeclampsia (13%), infection (21%), rejection (30%), loss of graft function (23%) and a lower percentage of live births than in transplant recipients of other organs. Other aspects to keep in mind are: the potential risk for fetal alterations (caused by drugs used as prophylaxis against rejection crossing the placental barrier); greater risk for infection and alterations in drug levels due to changes in metabolism typical of pregnancy and postpartum period. We describe the two cases in Spain of female lung transplant recipients who have had children after transplantation. Although pregnancy in these cases can have a similar evolution as in non-transplanted women, doctors should recommend their transplanted patients to avoid becoming pregnant, while explaining the high risk of both fetal and maternal morbidity and mortality after transplantation. Copyright © 2012 SEPAR. Published by Elsevier España, S.L. All rights reserved.

Citation

Felipe Zurbano, Francisco López, Inocencia Fornet, José Ramón de Miguel, Javier Segovia, Piedad Ussetti. Maternity and lung transplantation: cases in Spain. Archivos de bronconeumología. 2012 Oct;48(10):379-81