بررسی مقایسه‌ای ویژگیهای باروری در خانمهای پیوند کلیه شده در سن باروری با یک گروه کنترل

ABSTRACT Background: Due to increasing The number of renal transplant recipients in Iran and many of them are female in child bearing age (12-45 years) that didn't have any pregnancy, evaluation of fertility and pregnancy characteristics of these female is more important. Melhod: A case control study The numbers of cases were 50 and control were 100. The research was done by direct observation of pregnant womens during the pregnancy and evluation of renal function and fetal well being by sonography - serial CBC, BUN, Cr and control of GFR. The non pregnant women with kidney transplant were evaluated by questioners for mensturation, libido, and other fertility characteristics. The control groups were choosed by simple sampling from obstetric ward of BeheshtiHospithal. Results : Mean age was 29.2 ± 6.4 yrs. in cases and 27.9 ± 8.8 yrs in controls. 20 pregnancy occures in 18 patients with 2paitents 2time pregnancy after transplanation. 40% of patients were amenorrhic due to hypogonadotropic hypogonadism effects. Mean menstural period was 7.88 day (6.28 day control), mean menstural interval 32.4 day (28 day control) Mean amount of bleeding was 2.2 pad/day (1.9 pad control) P>0.05 The libido inproved after tranplantation in 81.8% of females. The mean interval of 35 month was from time of transplantation to concepts (Range 6-65 month). In overal (70% of pregnancies were complicated). regnancies were complicated). IS A Succesfulpregnanycies were on 85% of cases Discassion: pregnancy after. renal transplantation may be safe if the patient had normal renal function, was at least 2 year after transplantation, and is closely followed by a multidisiplinary group. Such as obstetrician and nephrologist and etc: