Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Transplantation hepatique et grossesse: perspectives en 1994. [Liver transplantation and pregnancy: 1994 perspectives]
Archives of Gynecology and Obstetrics
255 Suppl 2
The authors report a case of pregnancy in a 24-year-old, gravida-3, para-1 patient who had previously undergone liver transplantation for alveolar echinococcosis. Pregnancy and delivery were uneventful with no obstetrical or liver complications. Pregnancy seems to have little effect on liver transplants and rejection is seldom observed. Primary maternal complications are hypertension, preeclampsia, anemia and hyperbilirubinemia. Primary fetal complications include premature delivery and growth retardation. The mode of delivery depends on the obstetrical situation. Cyclosporin may be used during pregnancy. The risk of breastfeeding has not been clearly established. Pregnancy after liver transplantation is possible after 9 to 12 months but requires strict multidisciplinary surveillance. Barrier methods remain the preferred method of contraception for liver transplant patients.
Adult Echinococcosis, Hepatic/*surgery Female Fetal Growth Retardation/etiology Humans Hyperbilirubinemia/etiology Infant, Newborn Liver Function Tests *Liver Transplantation Postoperative Complications/*etiology Pre-Eclampsia/etiology Pregnancy Pregnancy Complications/*etiology
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