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Preeclampsia Risks in Kidney Donors and Recipients

  • Pratik B. Shah
  • Manpreet Samra
  • Michelle A. Josephson
Preeclampsia (VD Garovic, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Preeclampsia

Abstract

Purpose of Review

To review the studies and practice guidelines on the preeclampsia risks in kidney donors and recipients.

Recent Findings

There is a small increased risk of gestational hypertension and preeclampsia in pregnancies that follow kidney donation. Kidney Disease Improving Global Outcomes (KDIGO) Clinical Practice Guideline (2017) and the 2015 American Society of Transplantation (AST) consensus conference statement recommends counseling kidney donors about this increased risk. There is no observed increase in fetal complications or eclampsia post-kidney donation. Preeclampsia is more commonly observed in kidney transplant recipients than the general population and these patients should be co-managed with an obstetrician with experience in managing high risk pregnancies. Although preeclampsia has not been found to have a deleterious effect on renal graft function, it can cause premature delivery. Risk calculators have been proposed and an elevated pre-pregnancy creatinine seems to be an important risk. KDIGO Clinical Practice Guidelines (2009) recommends attempting pregnancy when kidney function is stable with proteinuria of less than 1 g per day. The use of novel biomarkers for preeclampsia has not been published in this population.

Summary

Preeclampsia is an important concern for female kidney donors and recipients of child-bearing age. These individuals should be appropriately counseled.

Keywords

Preeclampsia Kidney Transplantation Donation Recipient Pregnancy 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare no conflicts of interest relevant to this manuscript.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Pratik B. Shah
    • 1
  • Manpreet Samra
    • 2
  • Michelle A. Josephson
    • 1
  1. 1.Section of NephrologyUniversity of Chicago MedicineChicagoUSA
  2. 2.Division of NephrologyUniversity of Illinois at ChicagoChicagoUSA

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