Published in:
06-12-2022 | Kidney Transplantation | Original Research
Counselling, Research Gaps, and Ethical Considerations Surrounding Pregnancy in Solid Organ Transplant Recipients
Authors:
Deirdre Sawinski, Steven J. Ralston, Lisa Coscia, Christina L. Klein, Eileen Y. Wang, Paige Porret, Kathleen O’Neill, Ana S. Iltis
Published in:
Journal of Bioethical Inquiry
|
Issue 1/2023
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Abstract
Survival after solid-organ transplantation has improved significantly, and many contemporary transplant recipients are of childbearing potential. There are limited data to guide decision-making surrounding pregnancy after transplantation, variations in clinical practice, and significant knowledge gaps, all of which raise significant ethical issues. Post-transplant pregnancy is associated with an increased risk of maternal and fetal complications. Shared decision-making is a central aspect of patient counselling but is complicated by significant knowledge gaps. Stakeholder interests can be in conflict; exploring these tensions can help patients to evaluate their options and inform their deliberations. We argue that uniform, evidence-based recommendations for pregnancy after solid organ transplantation are needed. Conducting research, including patient-engaged studies, in this area should be priority for the transplant community.