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Open Access 29-10-2024 | Maternal-Fetal Medicine

Family planning after transplantation: sex- and organ-related differences in the perception of medical counseling and social challenges

Authors: Nina Schirm, Lea Böhm, Tanja Zimmermann, Nadia Meyer, Frauke von Versen-Höynck

Published in: Archives of Gynecology and Obstetrics

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Abstract

Purpose

Transplant patients are increasingly of childbearing age. Organ-related health as well as pregnancy-related risks require a standardized approach to family planning counseling. The aim of this study was to explore sex- and organ-related counseling differences and expectations in family planning to improve counseling services and reduce risks after transplantation.

Methods

The study was designed as a cross-sectional, multi-center cohort study. A total of 251 participants aged between 18 and 45 years with a visceral or thoracic transplant completed a questionnaire on their attitude toward family planning and experience with medical consultation.

Results

More female than male participants had a desire to have children. Males believed their transplantation-related medication had an influence on their fertility, while women worried it could harm their child. Contraceptive counseling was negated by 43.6% of the women and 73.4% of the men. Medical advice regarding family planning was highly requested by both sexes. Women felt more influenced in their family planning than men. Female thoracic organ recipients worried about a pregnancy more than visceral organ recipients. Women showed great awareness for pregnancy-related risks with the majority wanting to plan a pregnancy beforehand.

Conclusion

The findings revealed a lack of contraceptive counseling and a lack of family planning advice by physicians.
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Metadata
Title
Family planning after transplantation: sex- and organ-related differences in the perception of medical counseling and social challenges
Authors
Nina Schirm
Lea Böhm
Tanja Zimmermann
Nadia Meyer
Frauke von Versen-Höynck
Publication date
29-10-2024
Publisher
Springer Berlin Heidelberg
Published in
Archives of Gynecology and Obstetrics
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-024-07703-y