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    Vaginal birth may be safer for pregnant women with kidney and liver transplants

    Credit: Unsplash / CC0 public domain

    According to a new study, a planned caesarean section may not be the safest delivery method for transplanted women. Caesarean delivery rates are rising, especially for pregnant women at high risk of having an organ transplant. In the United States, cesarean delivery accounts for 31% of all births, while pregnant women who have had a kidney transplant account for 62.6% cesarean delivery and 44.6% liver transplantation.

    Despite the high incidence of Caesarean delivery, New study suggests planned caesarean section birth It may not be the safest delivery method for transplanted women.

    UCLA-led study published on October 4th JAMA network open We have found that pregnant people who have had a kidney or liver transplant can be tested for delivery (vaginal birth) without increasing their risk to their transplant or their baby.

    The study included 1,865 pregnant women aged 18-48 years over 50 years.In the study cohort, 1,435 women received kidney transplants and 430 received Liver transplant.. Of the delivery attempts, 73% ended with vaginal delivery.

    The study found that women who gave birth to the vagina had improved baby outcomes without giving birth. Increasing risk For the health of the mother.However Risk factor Caesarean delivery after labor is especially important Kidney transplant Receiver. The risk of placental abruption was 13-fold higher and the chance of developing pre-pregnancy diabetes was 5-fold higher.

    David Gefen, Associate Professor of Obstetrics and Gynecology, MD, Jarda Afshah, MD, said: Senior Author of UCLA School of Medicine and Research. “But now there is more evidence to suggest that this continuous practice is not necessary because delivery attempts are safe for pregnant transplant recipients.”

    Studies also show that babies have been more successful in labor trials. The prevalence of newborns, which is a risk of serious injury or death during the neonatal period, occurred in only 6% to 10% of patients with kidney and liver in the delivery trial, compared to up to 20% of cesarean delivery. Babies born after a caesarean section were at more than twice the risk of short-term and long-term respiratory problems, and some babies needed a ventilator.

    “One of the most impressive discoveries is Labor Although ended with a Caesarean section, these babies were still better than the babies after the scheduled surgery. this is, Transplant After discussing the risks and benefits with the medical team, we should consider trying vaginal delivery, “said Dr. Ophelia Yin, Physician in Obstetrics and Gynecology at the School of Medicine and lead author of the study.


    Planned Caesarean Delivery Safe for Low-Risk Pregnancy


    For more information:
    Ophelia Yin et al, Modes of Obstetric Delivery in Kidney and Liver Transplant Recipients and Related Maternal, Neonatal, and Graft Prevalence, 5-Year Clinical Practice, JAMA network open (2021). DOI: 10.1001 / jamanetworkopen.2021.27378

    Quote: Vaginal births, kidney and liver transplants obtained on October 5, 2021 from https: //medicalxpress.com/news/2021-10-vaginal-birth-safer-pregnant-women.html (2021) May be safer for pregnant women (October 5th)

    This document is subject to copyright. No part may be reproduced without written permission, except for fair transactions for personal investigation or research purposes. The content is provided for informational purposes only.

    Vaginal birth may be safer for pregnant women with kidney and liver transplants Source link Vaginal birth may be safer for pregnant women with kidney and liver transplants

    The post Vaginal birth may be safer for pregnant women with kidney and liver transplants appeared first on California News Times.

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