Anxieties and coping methods of liver transplant recipients regarding pregnancy and delivery

Yoshimura, Yasuko; Umeshita, Koji; Kubo, Shoji; Yoshikawa, Yuki

doi:10.1111/jan.12957

Cited by 5 publications

(6 citation statements)

References 19 publications

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“…Some patients wanted to learn “everything there is to know about…medications,” whereas others felt that “until it affects you, you know nothing about it” and through experiencing challenges they became “experts.” 30,36,37,49,63,91,93,103,107 Often they searched the Internet and books to find more information about side effects of medications 22,29,30,35,49,50,52,57,64,66,69,71,73,77,80,83,108 . Those who knew about their medications were in a better position to ask questions and were able to solve problems and discuss strategies to cope with side effects 24,29,36‐38,49,77,109 .…”

Section: Resultsmentioning

confidence: 99%

“…23,24,27,30,34,39,56,60 They were concerned about medication effects on the ability to have children and start a family, achieve career success, and were burdened by limitations to achieving longterm goals due to knowledge of potentially life-threatening illness such as cancer. 30,36,41,[61][62][63][64]…”

Section: Restricting Goals and Rolesmentioning

confidence: 99%

“…30,36,37,49,63,91,93,103,107 Often they searched the Internet and to find more information about side effects of medications. 22,29,30,35,49,50,52,57,64,66,69,71,73,77,80,83,108 Those who knew about their medications were in a better position to ask questions and were able to solve problems and discuss strategies to cope with side effects. 24,29,[36][37][38]49,77,109 They became more confident in their medication regime through better knowledge and understanding.…”

Section: Gaining and Seeking Confidencementioning

confidence: 99%

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Perspectives of solid organ transplant recipients on medicine-taking: Systematic review of qualitative studies

Tang

Kerklaan

Wong

et al. 2021

American Journal of Transplantation

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Medicine-taking has a paramount role in minimizing graft loss and maximizing health outcomes in solid organ transplant recipients; however, medication regimens are complex and challenging. [1][2][3] These include immunosuppressants and medications to manage comorbidities such as cardiovascular disease, diabetes, and prevent potentially life-threatening transplant complications such as infections over a lifetime. 1,4 The World Health Organization defines adherence as "the extent to which a person's behaviortaking medication, following a diet, and/or executing lifestyle changes, corresponds with agreed recommendations from a

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Section: Resultsmentioning

confidence: 99%

Section: Restricting Goals and Rolesmentioning

confidence: 99%

Section: Gaining and Seeking Confidencementioning

confidence: 99%

See 1 more Smart Citation

Perspectives of solid organ transplant recipients on medicine-taking: Systematic review of qualitative studies

Tang

Kerklaan

Wong

et al. 2021

American Journal of Transplantation

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“…Owing to the high-risk nature of pregnancy in posttransplant patients, it may be of benefit to review the importance of self-management among transplant recipients to ensure maintenance of renal function. Since transplant recipients experience significant anxiety regarding their pregnancy and delivery, 23 – 25 methods for improving confidence with self-care management should be addressed in future research.…”

Section: Discussionmentioning

confidence: 99%

Associations between physical and psychosocial factors and health-related quality of life in women who gave birth after a kidney transplant

Yoshikawa

Uchida

Akazawa

et al. 2018

IJWH

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PurposeHealth-related quality of life (HRQOL) among kidney transplant recipients is associated with physical and psychosocial characteristics. Furthermore, pregnancy and childcare may be particularly challenging for women. The aim of this study was to assess the relationship between patients’ psychosocial characteristics and HRQOL, specifically for recipients who have given birth after their kidney transplant.Patients and methodsThis was a cross-sectional study. Participants were 59 kidney transplant recipients who had given birth after transplantation. The tools used were the Medical Outcomes Scale, the Kidney Transplantation Self-Management Scale, the Multidimensional Scale of Perceived Social Support (MSPSS), and The Maternal Consciousness Scale.ResultsMean age was 42.3±7.2 years, and the mean age at the time of transplant was 28.2±4.6 years. A total of 82 fetal outcomes were evaluated. Maternal age was 33.6±4.1 years, duration of gestational period was 35.3±3.3 weeks, and birth weight was 2,303.8±592.5 g. HRQOL results were nearly the same as stratified national norms. The physical component summary was positively correlated with the MSPSS (p=0.025), and self-care behavior was positively correlated with the mental component score (p=0.029) and MSPSS (p=0.016). A structural equation model revealed that self-care behavior and the patient–health professions partnership indirectly affected physical health through social support.ConclusionSelf-management indirectly affects physical health through social support. To create a supportive environment through monitoring and consultation with patient families, child-rearing kidney transplant recipients should be encouraged to improve their self-management skills to improve their quality of life. Social support for self-management may contribute to improve HRQOL for women who experience pregnancy and child-rearing after transplantation.

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“…5 Nevertheless, some complications such as increased risk of acute cellular rejection, graft loss, preeclampsia, preterm delivery and intrauterine growth restriction have been identified in addition to increased anxiety in recipients regarding the well-being of the child and their own health status. [5][6][7] Hence, these are considered as high-risk pregnancies that require monitoring in a tertiary center by a multidisciplinary team and successful outcomes strictly depend on close observation and careful management. 5,6 Several studies have provided information about the maternal and fetal outcomes of these pregnancies; however, the accumulated data is still limited.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Pregnancies in Liver Transplant Recipients: Experience of a Single Center in Turkey

2022

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Background: Liver transplantation is the ultimate treatment for end-stage liver failure. As organ donation systems improve, more reproductive-age women are expected to undergo liver transplantation. Current studies indicate increased risk of some perinatal and maternal complications; however, the available data is still scarce. Therefore, we aimed to evaluate the maternal and fetal outcomes of pregnancies in liver transplant recipients. Methods: We retrospectively evaluated liver transplantations performed between 2011 and 2020 in a tertiary center. Perinatal, maternal, fetal outcomes and transplant status were assessed among pregnancies conceived after liver transplantation. Results: Among 1137 patients, 82 (7.2%) were reproductive-age females. Ten pregnancies in nine patients were identified after liver transplantation. The mean age of patients was 29.3±6.1 at transplantation, and 32.5±5.4 at conception. The mean interval between conception and transplantation was 30.3±11.7 months. There were eight live births (80%), one miscarriage (10%) and one termination (10%). Three patients delivered<37th gestational week (37.5%). The median gestational age at birth was 38.5 (IQR: 5.21) weeks. The mean birth weight of infants was 2669.3±831 g. Two patients were diagnosed with preeclampsia (25%) and acute graft rejection episode was observed in one patient (10%) during pregnancy. Conclusion: Although the incidence of some perinatal complications, such as hypertensive disorders and preterm delivery, is increased in liver transplant recipients, pregnancy after liver transplantation appears to have favorable outcomes for the mother, fetus and transplant with close monitoring by a multidisciplinary team.

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Anxieties and coping methods of liver transplant recipients regarding pregnancy and delivery

Cited by 5 publications

References 19 publications

Perspectives of solid organ transplant recipients on medicine-taking: Systematic review of qualitative studies

Perspectives of solid organ transplant recipients on medicine-taking: Systematic review of qualitative studies

Associations between physical and psychosocial factors and health-related quality of life in women who gave birth after a kidney transplant

Outcomes of Pregnancies in Liver Transplant Recipients: Experience of a Single Center in Turkey

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