Pregnancy in heart- and heart/lung recipients can be problematic

Figures & data

Table I. Demographics for 25 women at last control before first pregnancy after transplantation.

Heart- and heart/lung recipients	19/6
Indication for transplantation
Cardiomyopathy	15 (60%)
Congenital heart disease	9 (36%)
Cystic fibrosis	1 (4%)
Diabetes mellitus treatment	1 (4%)
Hypertension treatment	8 (32%)
Proteinuria	2 (8%)
Creatinine (μmol/l, mean ± SD)	93 ± 29
Women with rejections before pregnancy	15 (60%)
General health
Good	20 (80%)
Fair	5 (20%)

Table II. Outcome of 42 pregnancies after heart or heart/lung transplantation.

Spontaneous abortion	11 (27%)
Induced abortion	6 (15%)
Induction of delivery	7 (17%)
Cesarean section	12 (29%)
Indication for cesarean section
Cholestasis	2 (17%)
Preeclampsia	3 (25%)
Maternal request	3 (25%)
Twin pregnancy	2 (17%)
Malformation	1 (8%)
Preterm delivery	1 (8%)
Spontaneous vaginal delivery	6 (15%)
Pregnancy length (weeks)	36.4 ± 2.9
Birth weight (g)	2726 ± 655