Pregnancy After Solid Organ Transplantation: Review of the Evidence and Recommendations
Goni Katz‐Greenberg, Yalda Afshar, Julie Bonn, Jillian P. Casale, S. Constantinescu, Ersilia M. DeFilippis, Roshan George, Ana S. Iltis, Shilpanjali Jesudason, M. Kittleson, Deborah Levine, Michael J. Moritz, Monika Sarkar, Silvi Shah, K. Uccellini, Lisa Coscia, Ana Rossi, On behalf of the American Society of Transplantation Women’s Health Community of Practice Reproductive Health, Contraception and Pregnancy after Transplantation and Living Donation Controversies Conference Participants
Abstract
Solid organ transplantation (SOT) offers people with end-stage organ disease an increased quality of life, which includes the return of fertility and the potential for pregnancy. Although the number of pregnancies has increased, definitive recommendations have been lacking. To address reproductive health in SOT recipients, the American Society of Transplantation Women's Health Community of Practice held a virtual Controversies Conference with subject matter experts gathered to discuss topics of contraception, immunosuppression, and pregnancy in SOT recipients and pregnancy post-living donation. This publication is a synthesis of expert guidance and available data regarding pregnancy management and outcomes after all types of SOTs.