A new success at DMC Hospial Ludhiana

Fri, Oct 4, 2013 at 1:12 PM
Kidney Transplant Recipient delivers a healthy child 

Ludhiana: Oct 4, 2013: (Punjab Screen Bureau): A Kidney transplant recipient delivers a healthy child at DMCH, Ludhiana. Inspite of the comprehensive and effective MTP act that has given free and in-hospital abortion facility to the women of our country under Maternal and Child Health Program, septic abortion with renal failure is still the most dreaded complication. A 32-years old female patient with renal failure after septic abortion had successful renal transplant done in DMCH by Dr. Baldev Singh Aulakh, Professor of Urology and Head of Transplant Unit. After 2 years of renal transplant, she conceived and delivered a healthy child weighing 3.18 kg by caesarean section done by Dr. Promila Jindal, Professor and Head of Obstetrics and Gynecology and her team, providing a new hope of motherhood to patients after renal transplant.
Successful pregnancy is possible in patients with failed kidney if they undergo timely kidney transplant says Dr. B S Aulakh. In many cases, a transplanted organ normalizes the hormonal imbalance and restores fertility and, thus, offers the prospect of pregnancy, he further added.
In order to reduce the chances of complication as renal failure, patients must undergo abortion from qualified doctors at certified centres only, appealed Dr. Promila Jindal. Explaining the challenge for this patient she told that during the pregnancy the patient was on immunosuppressive drugs and developed pregnancy induced hypertension which was managed well to ensure the good health of both mother and child.
The recommendation to conceive was to wait 2 years after successful transplantation which has been replaced by the American Society of Transplantation Consensus Opinion that as long as graft function is optimal, and immunosuppressive dosing is stable at maintenance levels, the patient can safely proceed with the pregnancy, even 6 months after transplantation in specific situations.
Because the outcomes of pregnancy in transplanted women are better from those women on intermittent dialysis, it is advisable to treat end‐stage renal disease patients with transplantation, suggested Dr. B S Aulakh.
End-stage organ disease disrupts normal gonadal function; consequently, pregnancies in patients with end-stage disease are still relatively uncommon. Fertility is improved within months after the successful replacement of an infirmed organ. The hormone aberrations are usually reversed after transplantation, resulting in normal ovulatory cycles and regular menstruation.
Caesarean section in the transplanted patient is a surgical challenge but is safe and can be beneficial to prevent any other during-birth complication to mother and baby, added Dr. Promila Jindal.
Such planned pregnancies offer to the mother and fetus the best chance of a favorable outcome and bring a new dawn to the renal transplanted recipient patients who wish to complete their families.