Kidney transplant patient delivers healthy baby

ST CORRESPONDENT
Friday, 22 March 2019

“Such patients need change of immunosuppressant drug that suppress or reduce  strength of the body’s immune system and can disturb the development of the embryo or fetus. It is advisable to plan for conception six weeks prior,” said Dr Rohan Purohit, gynaecologist, who along with Dr Mali, handled the case. 

Pune: Doctors from the city-based Aditya Birla Hospital have helped a kidney transplant patient deliver a healthy baby.

The 33-year-old patient, who is a resident of Sangli, underwent the kidney transplant at the Aditya Birla Memorial Hospital two-and-a-half years ago under consultant nephrologist and transplant physician Dr Manish Mali. The patient was keen on pregnancy but had a history of two spontaneous miscarriages prior to the transplant.

Dr Mali, who did pre-conceptional counselling of the patient, said as per the European guidelines for the pregnancy post-kidney transplant, the ideal time to conceive is two years.

“Such patients need change of immunosuppressant drug that suppress or reduce  strength of the body’s immune system and can disturb the development of the embryo or fetus. It is advisable to plan for conception six weeks prior,” said Dr Rohan Purohit, gynaecologist, who along with Dr Mali, handled the case. 

Dr Purohit said the patient was stable as far as her creatinine blood pressure, graft tolerance and minimal dose of immuno suppressant were concerned.

“The patient conceived naturally but such pregnancies are at very high risk for complications due to miscarriage, pregnancy induced hypertension, high blood pressure, urinary tract infections, preterm delivery, preterm premature rupture of amniotic fluid membranes, increased risk for caesarean delivery. The course of pregnancy was uneventful and the condition of mother and fetus was normal,” said Dr Purohit.

Doctors said that at the 40th week, the patient’s blood pressure was raised. So, the decision to deliver the baby was taken. Lower Segment Caesarean Section (LSCS) was done and a 3 kg baby girl was delivered in a healthy condition. 

The doctors involved in this case were Dr Rohan Purohit, gynaecologist, Dr Manish Mali, nephrologist/ transplant physician, Dr Ashish Pathak anaesthetist, neonatologist and others.

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