AISF position paper on liver transplantation and pregnancy: Women in Hepatology Group, Italian Association for the Study of the Liver (AISF).

Vincenza Calvaruso, Anna Alisi, Ranka Vukotic, Vincenza Calvaruso, Maurizia Brunetto, Giada Sebastiani, Rosina Critelli, Maria Laura Ponti, Aimilia Karampatou, Erica Villa, Fabiola Milosa, Annarosa Floreani, Clara Balsano, Tomris Ozben, Giovanna Fattovich, Maria Guarino, Eleonora De Martin, Francesca Faillaci, Annalisa Berzigotti, Filomena MoriscoTeresa Pollicino, Kryssia Rodríguez-Castro, Paola Nasta, Kryssia Isabel Rodríguez-Castro, Giuseppe Mazzella, Alessandra Mangia, Helen Reeves, Caterina Sagnelli, Ester Vanni, Mariagrazia Del Buono, Barbara Coco, Carmen Vandelli, Maria Luz Martinez-Chantar, Maria Rendina, Teresa Pollicino, Filomena Morisco, Elisabetta Bugianesi, Isabelle Colle, Isabel Fabregat, Erica Villa, Giuseppe Mazzella, Elisabetta Cariani, Chantal Housset, Guadalupe Garcia-Tsao, Helen Reeves, Patrizia Pontisso, Patrizia Burra, Giovanna Fattovich, Antonella Smedile, Barbara Lei, Anna Linda Zignego, Gloria Taliani, Alessandra Mangia, Veronica Bernabucci

Risultato della ricerca: Article

8 Citazioni (Scopus)

Abstract

After thefirst successful pregnancy in a liver transplant recipientin 1978, much evidence has accumulatedon the course, outcomes and management strategies of pregnancy following liver transplantation. Generally, liver transplantation restores sexual function and fertility as early as a few months after transplant.Considering that one third of all liver transplant recipients are women, that approximately one-third ofthem are of reproductive age (18–49 years), and that 15% of female liver transplant recipients are paediatric patients who have a >70% probability of reaching reproductive age, the issue of pregnancy afterliver transplantation is rather relevant, and obstetricians, paediatricians, and transplant hepatologistsever more frequently encounter such patients. Pregnancy outcomes for both the mother and infant inliver transplant recipients are generally good, but there is an increased incidence of preterm delivery,hypertension/preeclampsia, foetal growth restriction, and gestational diabetes, which, by definition, render pregnancy in liver transplant recipients a high-risk one. In contrast, the risk of congenital anomaliesand the live birth rate are comparable to those ofthe general population. Currently there are still no robustguidelines on the management of pregnancies after liver transplantation. The aim of this position paperis to review the available evidence on pregnancy in liver transplant recipients and to provide nationalItalian recommendations for clinicians caring for these patients.
Lingua originaleEnglish
pagine (da-a)860-868
Numero di pagine9
RivistaDigestive and Liver Disease
Volume48
Stato di pubblicazionePublished - 2016

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

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    Calvaruso, V., Alisi, A., Vukotic, R., Calvaruso, V., Brunetto, M., Sebastiani, G., Critelli, R., Ponti, M. L., Karampatou, A., Villa, E., Milosa, F., Floreani, A., Balsano, C., Ozben, T., Fattovich, G., Guarino, M., De Martin, E., Faillaci, F., Berzigotti, A., ... Bernabucci, V. (2016). AISF position paper on liver transplantation and pregnancy: Women in Hepatology Group, Italian Association for the Study of the Liver (AISF). Digestive and Liver Disease, 48, 860-868.