Renal Transplant In Pregnancy

Question 1

What is the cut off of Creatinine in renal transplant

Answer 1

Less than 120
Protein less than 500/24hour
BP less than 140/90

Question 2

Is IOL safe?

Answer 2

Yes PGE 2 mg

Question 3

Points to remember in Renal transplant

Answer 3

1- obstetrics led unit
2- analgesia epidural
3- fluid management 60mlper hour
4 hydrocortisone IV
5- give Abx before episiotomy
6- 3 rd stage management
7- avoid ergometrin
8- paediatric alley not to give live vaccinations for 6 months
9 - growth scan every 2 weeks
10- trauma to graft in CS is 1-2%.
11- LMWH for 6 weeks
12- progesterone only contraception
13- avoid NSAID
14- adrenal insufficiency, thymus hypoplasia
15- avoid life vaccine 6 months.