{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T07:11:05Z","timestamp":1763017865233,"version":"3.37.3"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,4,22]],"date-time":"2018-04-22T00:00:00Z","timestamp":1524355200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Pregnancies in patients with solid organ transplants have higher rates of complications and caesarean sections (<jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To perform an audit of the pregnancy outcomes in transplant recipients, to determine the rate of CS in our cohort, the appropriate skin incision for CS in these patients and to formulate recommendations for preoperative planning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>This is a retrospective cohort study. All patients who had a solid organ transplant were identified from the obstetrics database. The operation records of the transplant recipients who delivered by <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> were reviewed and the de\u2010identified data were evaluated for pregnancy outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This cohort consisted of 22 women: six had simultaneous pancreas and kidney (<jats:styled-content style=\"fixed-case\">SPK<\/jats:styled-content>) transplants and 16 had kidney transplants. Over a ten\u2010year period, four women had two pregnancies and one had a twin pregnancy, thus 27 babies were born. The rate of <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> was 58% (<jats:italic>n<\/jats:italic>\u00a0=\u00a015) and the surgical approach in 13 of these patients was by Pfannenstiel incision. One patient had an elective midline incision at the first <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content>, which was repeated in the next pregnancy. Two CS were complicated by bladder injury, both occurring in <jats:styled-content style=\"fixed-case\">SPK<\/jats:styled-content> recipients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients with solid organ transplants have a higher rate of <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">SPK<\/jats:styled-content> patients may be at a higher risk of bladder injuries during <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content>. Our data suggest that Pfannenstiel skin incision is still suitable for these patients. We recommend reviewing the operative details of the transplant operation and a pelvic magnetic resonance imaging for pre\u2010operative planning.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12815","type":"journal-article","created":{"date-parts":[[2018,4,22]],"date-time":"2018-04-22T18:06:41Z","timestamp":1524420401000},"page":"102-104","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["An audit of pregnancy outcomes in solid organ transplant recipients at a metropolitan hospital"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2619-0151","authenticated-orcid":false,"given":"Yunjing E.","family":"Fang","sequence":"first","affiliation":[{"name":"Westmead Institute for Maternal Fetal Medicine Westmead Hospital  Westmead New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roshini","family":"Nayyar","sequence":"additional","affiliation":[{"name":"Westmead Institute for Maternal Fetal Medicine Westmead Hospital  Westmead New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hayley","family":"Diplock","sequence":"additional","affiliation":[{"name":"Westmead Institute for Maternal Fetal Medicine Westmead Hospital  Westmead New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,4,22]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2011.03656.x"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfs276"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2014.3626"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/OGX.0000000000000194"},{"key":"e_1_2_5_6_1","unstructured":"Australian Institute of Health and Welfare 2014.Australia's health 2014. Australia's health series no. 14. Cat. no. AUS 178. Canberra: AIHW: pg 202"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.06170612"},{"key":"e_1_2_5_8_1","first-page":"62","article-title":"Simultaneous pancreas and kidney transplantation as the standard surgical treatment for diabetes mellitus patients with end\u2010stage renal disease","volume":"22","author":"Chan CM","year":"2016","journal-title":"Hong Kong Med J"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.1597"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asjsur.2015.11.003"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/RCT.0000000000000302"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajo.12815","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.12815","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T21:02:31Z","timestamp":1694725351000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.12815"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,22]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1111\/ajo.12815"],"URL":"https:\/\/doi.org\/10.1111\/ajo.12815","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"type":"print","value":"0004-8666"},{"type":"electronic","value":"1479-828X"}],"subject":[],"published":{"date-parts":[[2018,4,22]]},"assertion":[{"value":"2017-11-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-03-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-04-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}