The Liver Meeting 2019-Pregnancy in Transplant Recipients: Preconception Care and Maternal and Fetal Outcomes

Pregnancy in Transplant Recipients: Preconception Care and Maternal and Fetal Outcomes

Video Transcription

Video Summary

Dr. Christina Doligalski, a solid organ transplant clinical pharmacist practitioner from the University of North Carolina Chapel Hill, discusses pregnancy in liver transplant recipients. She highlights data from the Transplant Pregnancy Registry International, emphasizing that successful pregnancies post-transplant are possible with acceptable outcomes. Maintaining adequate immunosuppression is crucial to prevent postpartum graft loss. Dr. Doligalski addresses medication management during pregnancy, noting changes in pharmacokinetics and considerations for immunosuppressants like cyclosporine, tacrolimus, azathioprine, and prednisone. She also covers breastfeeding counseling postpartum and discusses the importance of elective reporting of pregnancies to international registries for optimal maternal and fetal outcomes. Audience questions focus on medication adjustments, immunosuppressive regimen recommendations for planned pregnancies, and counseling on breastfeeding and medication safety.

Asset Caption

Presenter: Christine Doligalski

Keywords

Dr. Christina Doligalski

solid organ transplant

pregnancy in liver transplant recipients

Transplant Pregnancy Registry International

immunosuppression

medication management during pregnancy