A survey of solid organ transplant recipient attitudes and concerns regarding contraception and pregnancy.
Tristan McIntoshPayton PuerzerMiah T LiGregory MalatChelsea SammonsMaxwell NorrisTara FallahJennifer Trofe-ClarkJames M DuBoisAna IltisSumit MohanDeirdre L SawinskiPublished in: Clinical transplantation (2023)
Following a comprehensive literature review, our team developed a survey that was administered to female SOT recipients of childbearing age. We used descriptive and inferential statistics to characterize participant views RESULTS: A total of 243 transplant recipients completed the survey (80.7% response rate). The mean age of respondents was 37.5 years (±8.1 years), 66.7% were kidney recipients, and 40.7% were within the first year after transplant. The most common concerns among respondents included fetal and maternal health complications. Participants generally did not agree that transplant recipients should be advised to avoid pregnancy. There was strong support for shared decision-making about pregnancy after transplantation CONCLUSION: Understanding patient perspectives can help transplant providers make better care recommendations and support patient autonomy in reproductive decisions post-transplant. Given that there are some differences in views by transplant type, individualized conversations between patients and providers are needed.
Keyphrases
- pregnancy outcomes
- case report
- healthcare
- preterm birth
- end stage renal disease
- palliative care
- mental health
- cross sectional
- public health
- newly diagnosed
- ejection fraction
- chronic kidney disease
- quality improvement
- prognostic factors
- kidney transplantation
- clinical practice
- risk factors
- stem cells
- risk assessment
- mesenchymal stem cells
- birth weight
- human health
- bone marrow
- climate change
- gestational age
- patient reported