Successful full-term pregnancy after preterm event in a liver transplant patient: a case report.

Ramona Galsone, Sandra Vītiņa, Maira Jansone, Aiga Staka, Reza Mohammadian

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Article in Journal of medical case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Ramona GalsoneWomen and child health clinic, Pauls Stradins Clinical University Hospital, University of Latvia, Pilsonu street 13, Riga, 1002, Latvia.

Sandra VītiņaWomen and child health clinic, Pauls Stradins Clinical University Hospital, University of Latvia, Pilsonu street 13, Riga, 1002, Latvia.

Maira JansoneWomen and child health clinic, Pauls Stradins Clinical University Hospital, University of Latvia, Pilsonu street 13, Riga, 1002, Latvia.

Aiga StakaGastroenterology, Hepatology and Nutrition Therapy Center, Pauls Stradins Clinical University Hospital, Pilsonu street 13, Riga, 1002, Latvia.

Reza MohammadianRadiology Department, Riga East University Clinical Hospital, Stradins University, Hippocrates Street 2, Riga, 1038, Latvia. diako30@yahoo.com.ORCID http://orcid.org/0000-0003-3325-9601

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPregnancy after liver transplantation poses a significant challenge to both the patient and the transplant team. CASE PRESENTATION: We present the case of a 19-year-old European patient who underwent liver transplantation 5 years previously owing to autoimmune hepatitis. Poor compliance with immunosuppressive therapy and missed follow-up visits during the patient's first pregnancy likely contributed to her liver function deterioration, hospitalization, and failed pregnancy. Owing to the patient's complex medical history, combined immunosuppressive treatment, and risks to the fetus, her second pregnancy was high risk. However, close outpatient monitoring and adherence to treatment led to a successful, uneventful, full-term pregnancy and healthy delivery.

conclusionLiver transplant recipients who desire to become pregnant require careful planning and management to ensure optimal outcomes for both the mother and the fetus. A personalized strategy is necessary to balance the potential benefits of childbirth with the risks involved in pregnancy after liver transplantation.

Indexed as

Liver TransplantationPregnancy ComplicationsFemaleFetusGravidityHumansImmunosuppression TherapyImmunosuppressive AgentsInfant, NewbornPregnancyPregnancy OutcomeYoung AdultImmunosuppressive AgentsBenefitsLiver transplantationPersonalized approachPregnancyRisks

Identifiers

PMID38071338

DOI10.1186/s13256-023-04189-1

PMCPMC10710722

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