{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T17:41:44Z","timestamp":1792258904069,"version":"4.4.0"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Obstet Med"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pregnancies in solid organ transplant recipients are increasing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This retrospective observational study aims to evaluate the management and outcomes of pregnancies in heart, lung, liver and kidney transplant recipients at the Royal Brisbane and Women's Hospital from January 2009 to December 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty-four pregnancies in 25 women resulted in 29 live births, two terminations and three miscarriages. Median maternal age was 31 years. Median time from transplantation to conception was 6 years. Preconception comorbidities included hypertension (36%), chronic kidney disease (72%) and diabetes mellitus (24%). Maternal complications included pre-eclampsia (35.3%), gestational diabetes mellitus (11.5%), acute kidney injury (55.9%), permanent renal dysfunction (20.6%), infection (35.3%), caesarean section (72.4%), graft rejection (5.9%), graft failure (8.8%) and death (2.9%). Neonatal complications included preterm birth (75.9%), extreme preterm birth (10.3%), low birth weight (64.5%), small for gestational age (9.7%) and neonatal care (87.1%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pregnancy following solid organ transplantation remains challenging.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1753495x261499127","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T14:53:53Z","timestamp":1791989633000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pregnancy in solid organ transplant recipients: An Australian quaternary hospital experience and literature review"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9501-1686","authenticated-orcid":false,"given":"Monique","family":"Kowitz","sequence":"first","affiliation":[{"name":"Royal Brisbane and Women's Hospital","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann-Maree","family":"Craven","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Lust","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital","place":["Australia"]},{"name":"School of Medicine, University of Queensland, Brisbane, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renuka","family":"Sekar","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Penny","family":"Wolski","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonie","family":"Callaway","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital","place":["Australia"]},{"name":"School of Medicine, University of Queensland, Brisbane, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_3_3_2_2","article-title":"Electronic address: pubs@smfm.org. Society for Maternal-Fetal Medicine Consult Series #66: prepregnancy evaluation and pregnancy management of patients with solid organ transplants","volume":"229","author":"Society for Maternal-Fetal Medicine (SMFM)","year":"2023","unstructured":"Society for Maternal-Fetal Medicine (SMFM); Irani RA, Coscia LA, Chang E, et al. SMFM Publications Committee. Electronic address: pubs@smfm.org. Society for Maternal-Fetal Medicine Consult Series #66: prepregnancy evaluation and pregnancy management of patients with solid organ transplants. Am J Obstet Gynecol 2023; 229: B10\u2013B32.","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-023-07065-x"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000001105"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-019-1213-5"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13819"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000003026"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpb.2020.05.001"},{"key":"e_1_3_3_9_2","first-page":"1","article-title":"KDIGO Clinical practice guideline for acute kidney injury","volume":"2","author":"Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group","year":"2012","unstructured":"Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. KDIGO Clinical practice guideline for acute kidney injury. Kidney Int Suppl 2012; 2: 1\u2013138.","journal-title":"Kidney Int Suppl"},{"key":"e_1_3_3_10_2","article-title":"KDIGO 2024 Clinical practice guideline for the evaluation and management of chronic kidney disease","volume":"105","author":"Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group","year":"2024","unstructured":"Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2024 Clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Int 2024; 105: S117\u2013S314.","journal-title":"Kidney Int"},{"key":"e_1_3_3_11_2","unstructured":"SOMANZ Hypertension in Pregnancy Guideline 2023. Society of Obstetric Medicine Australia and New Zealand (SOMANZ). Updated Feb 5 2024. Accessed May 4 2024. https:\/\/www.somanz.org\/hypertension-in-pregnancy-guideline-2023\/."},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2013.10.012"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-13-59"},{"key":"e_1_3_3_14_2","unstructured":"Australia\u2019s mothers and babies. Australian Institute of Health and Welfare (AIHW). Updated Jul 30 2023. Accessed Aug 29 2024. https:\/\/www.aihw.gov.au\/reports\/mothers-babies\/australias-mothers-babies\/contents\/about."},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.23416"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2022.10.009"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/lt.25717"},{"key":"e_1_3_3_18_2","unstructured":"Australian Bureau of Statistics (ABS). Breastfeeding. ABS; 2022. 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