Pregnancy in an intestinal transplant recipient.
Citation: Obstetrics & Gynecology. 120(2 Pt 2):497-500, 2012 Aug.PMID: 22825278Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology, Maternal-Fetal Medicine | Obstetrics and Gynecology/Pediatric and Adolescent | Surgery/TransplantationForm of publication: Journal ArticleMedline article type(s): Case Reports | Journal ArticleSubject headings: *Intestine, Small/tr [Transplantation] | *Pregnancy Complications/pc [Prevention & Control] | *Pregnancy Outcome | *Short Bowel Syndrome/su [Surgery] | Adult | Anti-Ulcer Agents/ad [Administration & Dosage] | Creatinine/bl [Blood] | Female | Gastrointestinal Agents/ad [Administration & Dosage] | Huma | Immunosuppressive Agents/ad [Administration & Dosage] | Infant, Newborn | Intestinal Diseases/dt [Drug Therapy] | Labor, Induced | Postoperative Period | Postpartum Period | Pregnancy | Pregnancy Complications/dt [Drug Therapy] | Ulcer/dt [Drug Therapy]Local holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006ISSN:- 0029-7844
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | Available | 22825278 |
Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
BACKGROUND: Intestinal transplantation is a relatively new form of therapy for short gut syndrome. Pregnancy after intestinal transplantation is rare.
CASE: A 26-year-old small bowel transplant recipient presented for prenatal care. She previously had undergone bariatric surgery and later experienced small bowel necrosis and resection. The resulting short gut syndrome was treated with an isolated small bowel transplant. Medications during this pregnancy included prednisone, esomeprazole, diphenoxylate-atropine, ascorbic acid, tacrolimus, and magnesium supplementation. Throughout her pregnancy, her creatinine level was elevated. Labor was induced at 39 3/7 weeks and resulted in a spontaneous vaginal delivery of a healthy female neonate. Twelve weeks after delivery, the mother was admitted for a rejection reaction that was treated successfully.
CONCLUSION: A successful pregnancy in an intestinal transplant recipient resulted in delivery of a healthy term newborn.
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