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ISSN: 0031-3939
Pediatria Polska - Polish Journal of Paediatrics
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2/2021
vol. 96
 
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abstract:
Case report

Twin pregnancy after kidney transplant – the insight of the prenatal and postnatal problems based on a case report

Marzena Michalak-Kloc
1
,
Magdalena Kłosowska-Kwapisz
2
,
Ewa Rojas Perez
1
,
Kornelia Walczak
2
,
Agata Kuszerska
2
,
Witold Malinowski
3

  1. Neonatology Department with Neonatology Intensive Care Unit, University Hospital in Zielona Gora, Poland
  2. Department of Obstetric and Gynecology, University Hospital in Zielona Gora, Poland
  3. Department of Obstetric and Gynecology Nursing at the Faculty of Health Scienses, Pomeranian Medical University in Szczecin, Poland
Pediatr Pol 2021; 96 (2): 139–142
DOI: https://doi.org/10.5114/polp.2021.107399
Online publish date: 2021/07/01
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Twin pregnancy after a kidney transplant is rare and is known to be a high-risk pregnancy. Chances of getting pregnant after a kidney transplant are higher than for patients with renal chronic disease. The most common problems which can occur are: severe hypertension, preeclampsia, abruption of the placenta and fetal growth restriction. We present a case of twin pregnancy after a kidney transplant, on three immunosuppressant medications, complicated by arrhythmia treated by cardioversion, severe fetal growth restriction in twin 2, and preeclampsia. The pregnancy was ended at nearly 28 weeks of gestation due to abruption of the placenta in the normally growing twin. The birth weight was as follows: in twin 1-1200 g and in twin 2-620 g. We present problems during the postnatal period and outcomes at 12 months of life.
keywords:

twin pregnancy, kidney transplant, immunosuppressant therapy