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Reproduction and transplantation: report on the AST Consensus Conference on Reproductive Issues and Transplantation
Journal article   Open access   Peer reviewed

Reproduction and transplantation: report on the AST Consensus Conference on Reproductive Issues and Transplantation

Dianne B McKay, Michelle A Josephson, Vincent T Armenti, Phyllis August, Lisa A Coscia, Connie L Davis, John M Davison, Thomas Easterling, Jan E Friedman, Susan Hou, …
American journal of transplantation, v 5(7), pp 1592-1599
01 Jul 2005
PMID: 15943616
url
http://onlinelibrary.wiley.com/doi/10.1111/j.1600-6143.2005.00969.x/pdfView

Abstract

It has been almost 50 years since the first child was born to a female transplant recipient. Since that time pregnancy has become common after transplantation, but physicians have been left to rely on case reports, small series and data from voluntary registries to guide the care of their patients. Many uncertainties exist including the risks that pregnancy presents to the graft, the patient herself, and the long-term risks to the fetus. It is also unclear how to best modify immunosuppressive agents or treat rejection during pregnancy, especially in light of newer agents available where pregnancy safety has not been established. To begin to address uncertainties and define clinical practice guidelines for the transplant physician and obstetrical caregivers, a consensus conference was held in Bethesda, Md. The conferees summarized both what is known and important gaps in our knowledge. They also identified key areas of agreement, and posed a number of critical questions, the resolution of which is necessary in order to establish evidence-based guidelines. The manuscript summarizes the deliberations and conclusions of the conference as well as specific recommendations based on current knowledge in the field.

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429 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#5 Gender Equality

InCites Highlights

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Collaboration types
Domestic collaboration
Web of Science research areas
Surgery
Transplantation
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