{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T01:52:34Z","timestamp":1782525154222,"version":"3.54.5"},"reference-count":19,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,12,3]],"date-time":"2024-12-03T00:00:00Z","timestamp":1733184000000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["KL2 TR001870"],"award-info":[{"award-number":["KL2 TR001870"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Half of all female kidney transplant (KT) recipients are reproductive\u2010aged, though data on reproductive practices and counseling are limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross\u2010sectional survey evaluated patient experiences, practices, and preferences surrounding contraception and pregnancy in female KT patients (listed or post\u2010transplant) ages 14\u201345 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 152\/682 eligible participants (22%; 50 pre\u2010 and 102 post\u2010KT) completed the survey with 26% unaware at the time of KT that future pregnancy was possible. The majority (72%) of sexually active patients used contraception during the first year post\u2010KT, though 24% exclusively used high failure\u2010rate methods. Less than half (48%) felt their pre\u2010KT reproductive counseling was adequate to guide decision\u2010making, although 63% reported satisfaction with post\u2010KT counseling. Discussions with transplant providers were the single most favored counseling modality at 74%. Misconceptions of intrauterine device safety and efficacy were identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Reproductive counseling commonly occurred, although information was inadequate for guiding pregnancy and contraceptive decisions in most pre\u2010KT patients. Misconceptions about pregnancy potential and contraceptive efficacy and safety were common, as well as patient reliance on high\u2010failure contraceptive methods. Improving patient knowledge and access to contraception and pregnancy planning is essential for honoring patients\u2019 reproductive wishes while lowering obstetric, graft, and perinatal risks in post\u2010KT pregnancies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.70047","type":"journal-article","created":{"date-parts":[[2024,12,3]],"date-time":"2024-12-03T10:14:22Z","timestamp":1733220862000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Family Planning Counseling and Practices in Kidney Transplant Recipients"],"prefix":"10.1111","volume":"38","author":[{"given":"Swathi","family":"Rajagopal","sequence":"first","affiliation":[{"name":"Department of Medicine University of Iowa Hospitals and Clinics  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Ritchie","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Loma Linda University  Rancho Cucamonga California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominika","family":"Seidman","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily R.","family":"Perito","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Division of Pediatric Gastroenterology Hepatology and Nutrition University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Adey","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Nephrology and Kidney Transplant University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4233-1062","authenticated-orcid":false,"given":"Monika","family":"Sarkar","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Hepatology and Liver Transplant University of California San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,3]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Organ Procurement and Transplant Network. 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