Abstract
Background: Pregnancy 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. Conclusion: Liver 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.
Original language | English |
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Article number | 506 |
Number of pages | 9 |
Journal | Journal of Medical Case Reports |
Volume | 17 |
Issue number | 1 |
DOIs | |
Publication status | Published - Dec 2023 |
Externally published | Yes |
Keywords*
- Benefits
- Liver transplantation
- Personalized approach
- Pregnancy
- Risks
Field of Science*
- 3.2 Clinical medicine
Publication Type*
- 1.1. Scientific article indexed in Web of Science and/or Scopus database