N.A. NIGMATULINA^1, 2, K.A. CHIKMAREVA¹

 ¹Kazan State Medical University, Kazan

²Republic Clinical Hospital, Kazan

Contact details:

Chikmareva K.A. — resident doctor, Department of Obstetrics and Gynecology named after V.S. Gruzdev

Address: 49 Butlerova St., Kazan 420012, Russian Federation, tel.: +7 (843) 236-06-23, e-mail: k-chikmareva@yandex.ru

Pregnancy after liver transplantation poses a high risk for the patient and fetus due to the medications taken and the associated medical history. The article describes a case of a successful second pregnancy and childbirth in a 42-year-old patient with a liver transplant following liver cirrhosis resulting from AIH overlap syndrome combined with primary biliary cirrhosis. The pregnancy was managed with hormonal therapy and Tacrolimus, with comprehensive daily laboratory monitoring. A planned cesarean section was performed at 37 weeks, resulting in the birth of a healthy baby girl weighing 2650 grams, 49 cm in length, 8-9 Apgar score. The pregnancy was with threatening interruption and moderate preeclampsia managed by antihypertensive medications.

Conclusions. This clinical case demonstrates the possibility of a favorable outcome in a repeat pregnancy and birth, despite the high risk to the patient and fetus, provided that the team provides dynamic clinical monitoring.

Key words: pregnancy, transplanted liver, liver transplantation

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