{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T03:27:26Z","timestamp":1792294046021,"version":"4.4.0"},"reference-count":9,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,1,27]]},"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:p>In recent years, the number of patients undergoing liver transplant has increased. Successful transplant has resulted in better quality of life and improved fertility in younger women. This is a case study a 31-year-old woman, who had history of Budd-Chiari syndrome and underwent liver transplantation in 2014 with uneventful postoperative course. She was clinically stable on tablet tacrolimus and coumarin with no episode of allograft rejection since transplantation. The patient conceived spontaneously, after 4 years of transplant and during pregnancy, she was managed by multidisciplinary team. During the initial period, the graft and pregnancy continued without complications. However, at 33 weeks, the patient presented with sluggish fetal movements, amniotic fluid index of 3.4 and SD ratio of 3.31 for which she underwent caesarean section. She delivered a healthy female baby of 1.4\u2009kg. This case study concludes that vigilant monitoring of fetal growth is pivotal for optimal fetal outcome.<\/jats:p>","DOI":"10.1136\/bcr-2019-229315","type":"journal-article","created":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T04:35:14Z","timestamp":1581309314000},"page":"e229315","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Successful pregnancy in a liver transplant patient of Budd-Chiari syndrome"],"prefix":"10.1136","volume":"13","author":[{"given":"Rubina","family":"Sohail","sequence":"first","affiliation":[{"name":"Obstetrics & Gyunaecology, Services Institute of Medical Sciences, Lahore, Punjab, Pakistan"},{"name":"Obstetrics & Gynaecology, Hameed Latif Hospital, Lahore, Punjab, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alia","family":"Bashir","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynaecology, Hameed Latif Hospital, Lahore, Punjab, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zara","family":"Safdar","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynaecology, Hameed Latif Hospital, Lahore, Punjab, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asifa","family":"Noreen","sequence":"additional","affiliation":[{"name":"Obstetrics & Gynaecology, Services Hospital, Lahore, Punjab, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,2,9]]},"reference":[{"key":"2025082706570850000_13.2.e229315.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2014.07.022"},{"key":"2025082706570850000_13.2.e229315.2","doi-asserted-by":"crossref","first-page":"1408","DOI":"10.1002\/lt.24483","article-title":"Pregnancy in the liver transplant recipient","volume":"22","author":"Jabiry-Zieniewicz","year":"2016","journal-title":"Liver Transpl"},{"key":"2025082706570850000_13.2.e229315.3","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1016\/S1701-2163(16)35237-9","article-title":"Pregnancy outcomes among solid organ transplant recipients in British Columbia","volume":"34","author":"Humphreys","year":"2012","journal-title":"J Obstet Gynaecol Can"},{"key":"2025082706570850000_13.2.e229315.4","doi-asserted-by":"publisher","DOI":"10.1002\/lt.24182"},{"key":"2025082706570850000_13.2.e229315.5","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1016\/j.contraception.2014.04.014","article-title":"Contraceptive awareness and birth control selection in female kidney and liver transplant recipients","volume":"90","author":"Szpotanska-Sikorska","year":"2014","journal-title":"Contraception"},{"key":"2025082706570850000_13.2.e229315.6","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1155\/2012\/137129","article-title":"Pregnancy following liver transplantation: review of outcomes and recommendations for management","volume":"26","author":"Parhar","year":"2012","journal-title":"Can J Gastroenterol"},{"key":"2025082706570850000_13.2.e229315.7","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1002\/lt.21906","article-title":"Pregnancy outcomes among liver transplant recipients in the United States: a nationwide case-control analysis","volume":"16","author":"Coffin","year":"2010","journal-title":"Liver Transpl"},{"key":"2025082706570850000_13.2.e229315.8","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1016\/j.transproceed.2019.01.014","article-title":"Pregnancy outcomes after liver transplantation: a systematic review","volume":"51","author":"Prodromidou","year":"2019","journal-title":"Transplant Proc"},{"key":"2025082706570850000_13.2.e229315.9","unstructured":"Moritz MJ , Constantinescu S , Coscia LA . 2016 annual report. In: Transplant. Philadelphia, PA: Gift of Life Institute, PregnancyRegistry International (TPR), 2016: 1\u201323."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-229315","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T13:57:20Z","timestamp":1756303040000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-229315"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2]]},"references-count":9,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,2,9]]},"published-print":{"date-parts":[[2020,2]]}},"alternative-id":["10.1136\/bcr-2019-229315"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-229315","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2]]}}}