Managing Pregnancy Pregnancies in women recipients of all organ types must be considered high-risk. Teamwork is essential. Management requires measuring transplant function, blood work, blood pressure control, diagnosis and treatment of rejection , treatment of any infections and fetal moitoring many times during pregnancy. The woman's emotional attitude and the support she receives from her family must be carefully considered. Unless there are specific problems, however, spontaneous labor should be allowed.
Vaginal delivery is the aim and cesarean section is only necessary for obstetric reasons.
Higher steroids dose is necessary to cover delivery and completely uncontaminated technique is advisable at all times. Monitoring the unborn child is advisable. A wait of 18 months to 2 years after transplant is recommended. Then, if pre-pregnancy assessment is okay, pregnancy might be tried. By then, graft function should have stabilized and immunosuppression should be at maintenance levels.