Pregnancy and delivery in a patient with an ectopic kidney transplant and billateral hearing loss

Abstract

Introduction: Pregnancy management and the choice of delivery method in kidney transplant patients are still a matter of debate. The goal is to achieve the balance between mother's underlying disease treatment and optimal conditions for fetal development and maturity. Case study: The patient is a 36-year-old woman whose first pregnancy was complicated by kidney transplantation 11 years ago. During hospitalization, the values of all renal function parameters and cyclosporine concentration in the blood were regularly monitored, and nephrologists and urologists were regularly consulted. Having in mind the pelvic presentation of the fetus, ectopic localization of the transplanted kidney and comorbidities such as deafness, gestational diabetes and gestational hypertension, the delivery was completed by caesarean section with the presence of a urologist and a healthy male child was born. Conclusion: By following the trends in current literature and applying team work, intensive supervision and adequate therapy for the mother and the fetus, it is possible to manage pregnancy in complicated transplanted patients and achieve outcomes equal to those of a physiological pregnancy.