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 (Corresponding Author)

Research output: Contribution to journalArticlepeer-review

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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 languageEnglish
Article number506
Number of pages9
JournalJournal of Medical Case Reports
Volume17
Issue number1
DOIs
Publication statusPublished - Dec 2023
Externally publishedYes

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

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